Mangrola, Priyal P
Mangrola, Priyal P is an sole proprietor health care provider with primary practice located at 1125 Harlem Ave , Forest Park IL 60130-2337. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Mangrola, Priyal P can be contacted via phone (708) 386-5437.Contact Information
Primary practice address
1125 Harlem Ave
Forest Park IL 60130-2337
Phone: (708) 386-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2017021966 | Missouri |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 021003078 | Illinois |
Profile Details
| NPI number | 1023539947 |
|---|---|
| LBN Legal business name | Mangrola, Priyal P |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2017 |
| Last updated | Feb 16th, 2022 - about 4 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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