Mansfield Family Dental, LLC
NPI #1538623913 in Mansfield, Massachusetts
Provider Information
- NPI Number
- 1538623913
- Entity Type
- Organization
- Organization Name
- Mansfield Family Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 30, 2019
- Last Updated
- Jan 30, 2019
Practice Location
- Address
- 235 CENTRAL ST
- City
- Mansfield
- State
- Massachusetts
- ZIP Code
- 02048-1341
- Phone
- (508) 339-3766
Authorized Official
- Name
- MARDY COSTA
- Title
- ADMINISTRATOR
- Phone
- (508) 728-5019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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