Priyal P Mangrola
Dentist Pediatric Dentist
722 S President St
Wheaton
, Illinois 60189-6606
Priyal P Mangrola
Dentist Pediatric Dentist
722 S President St
Wheaton
, Illinois 60189-6606
(630) 469-7696
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Priyal P Mangrola
- 722 S President St
- Wheaton, IL
- Zip : 60189-6606
- Phone : (630) 469-7696
Second Address
- Priyal P Mangrola
- 722 S President St
- Wheaton, IL
- Zip : 60189-6606
- Phone : (630) 469-7696
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Is Priyal P Mangrola a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 2017021966 | MO |
| Y | 1223P0221X | Pediatric Dentist | 021003078 | IL |
National Provider Identifier
| NPI | 1023539947 |
|---|---|
| Provider Name | Priyal P Mangrola |
| First Address | Wheaton, IL 60189-6606 |
| Second Address | Wheaton, IL 60189-6606 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2017 |
| Last Update Date | 28/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.