| Doctor Name: | MR. DAVID M MENGEL |
| NPI Number: | 1659451771 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.P.D. |
| License Number: | 015 |
| Business Practice Address: | 11100 W Michigan Ave Youngtown, AZ - 853631017 |
| Business Phone Number: | 6239745629 |
| Business Fax Number: | 6239741770 |
| Mailing Address: | 11100 W Michigan Ave, YOUNGTOWN |
| State: | AZ |
| Postal Code: | 853631017 |
| Phone Number: | 6239745629 |
| Fax Number: | 6239741770 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | 015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |