DR. ANTHONY MONGILLO, D.M.D, M.S.

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1669886982

Practice Address

250 S SKYLINE DR STE 4
Idaho Falls, ID 83402

Phone: (208) 524-1404

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes D-4708-OR (ID)
Dentist 122300000X No 2014017950 (MO)

Frequently Asked Questions

NPI 1669886982 is the National Provider Identifier for DR. ANTHONY MONGILLO, D.M.D, M.S., a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Idaho Falls, ID. This NPI was enumerated on June 13, 2014.
DR. ANTHONY MONGILLO, D.M.D, M.S. practices at 250 S SKYLINE DR STE 4, Idaho Falls, ID 83402.

Quick Facts

NPI
1669886982
Type
Individual
Enumerated
Jun 13, 2014
Last Updated
May 9, 2024

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