NPI 1003033440

Charles Solomon Mandell, DDS

Practitioner General Practice Dentistry Hollywood, FL

Practice location

Address: 3220 Stirling Rd Suite 103, Hollywood, FL 33021-2041
Phone: (954) 966-0404
Fax: (954) 987-8378

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN 3803 (FL)

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Registry record

NPI: 1003033440
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.