Mongalo, Marco Antonio

Mongalo, Marco Antonio is an sole proprietor health care provider with primary practice located at 2684 Cahill Way , Lake Mary FL 32746-2322. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mongalo, Marco Antonio can be contacted via phone (407) 634-8544.

Contact Information

Primary practice address
2684 Cahill Way Lake Mary FL 32746-2322
Phone: (407) 634-8544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN11409 Florida

Profile Details

NPI number 1942782594
LBN Legal business name Mongalo, Marco Antonio
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2018
Last updated Aug 30th, 2018 - about 8 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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