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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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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