National Provider Identifier
Gibran Said Mangui, DMD
Gibran Said Mangui, DMD is listed in the NPPES registry with a primary specialty of Student In An Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5051.
Profile Overview
- NPI
- 1326633314
- Provider Type
- Individual
- Primary Specialty
- Student In An Organized Health Care Education/Training Program
- Enumeration Date
- March 02, 2021
- Last Updated
- March 02, 2021
Practice Location
- 625 Elmwood Avenue, Box#683
- Rochester, NY 14620
Phone: (585) 275-5051
Mailing Address
- 25 Jan Karski Way Apt 630
- Boston, MA 02125-2875
Specialties
- Student In An Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1326633314
- Entity Type
- Individual
- Last Name
- Mangui
- First Name
- Gibran
- Middle Name
- Said
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 25 Jan Karski Way Apt 630
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02125-2875
- Mailing Country
- US
- Mailing Phone
- (301) 325-5805
- Practice Street Address
- 625 Elmwood Avenue, Box#683
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 275-5051
- Enumeration Date
- March 02, 2021
- Last Updated
- March 02, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 02, 2021
- Taxonomies
- Student In An Organized Health Care Education/Training Program (390200000X)