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.

NPI 1326633314Rochester, NYStudent in an Organized Health Care Education/Training Program

Source: public NPPES record, last updated March 02, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)