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Philip Mangiaracina, DMD
NPI 1316424922 · on the registry since 2018
Practice
- Address
- 10033 Wicker Ave Ste 9
Saint John, IN 46373 - Phone
- (219) 365-9750
- Organisation at this address
- Bdd Of Indiana P.C.
Total Renal Care IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana