Dynamic Dental P.c.
NPI #1134367584 in Mansfield, Massachusetts
Provider Information
- NPI Number
- 1134367584
- Entity Type
- Organization
- Organization Name
- Dynamic Dental P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 22, 2009
- Last Updated
- Jan 22, 2009
Practice Location
- Address
- 200 CHAUNCY ST
- Address 2
- SUITE 210
- City
- Mansfield
- State
- Massachusetts
- ZIP Code
- 02048-1200
- Phone
- (508) 261-9261
Authorized Official
- Name
- EDITA OUTERICKA
- Title
- PRESIDENT
- Phone
- (508) 261-9261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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