Mang, Robert Austin
Mang, Robert Austin is an individual health care provider with primary practice located at 70 Durbin Pavilion Dr Ste 112 , St Johns FL 32259-4121. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mang, Robert Austin can be contacted via phone (904) 325-7276.Contact Information
Primary practice address
70 Durbin Pavilion Dr Ste 112
St Johns FL 32259-4121
Phone: (904) 325-7276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN28010 | Florida |
Profile Details
| NPI number | 1265126148 |
|---|---|
| LBN Legal business name | Mang, Robert Austin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2023 |
| Last updated | Jun 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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