Mandato, Thaddeus Jude John
Mandato, Thaddeus Jude John is an individual health care provider with primary practice located at 21245 Lorain Rd Suite 100, Fairview Park OH 44126-2146. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mandato, Thaddeus Jude John can be contacted via phone (440) 331-0164.Contact Information
Primary practice address
21245 Lorain Rd Suite 100
Fairview Park OH 44126-2146
Phone: (440) 331-0164
Fax: (440) 331-0165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30-01-5181 | Ohio |
Profile Details
| NPI number | 1508961533 |
|---|---|
| LBN Legal business name | Mandato, Thaddeus Jude John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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