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Individual
JOHN SCOTT MAHANEY
Active
Individual
JOHN SCOTT MAHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18660
TEXAS DENTAL LICENSE #
TX
01
—
75-2841786
STATE PARTNERSHIP TAX ID
TX
Enumeration date
10/03/2006
Last updated
08/05/2014
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