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Organization
MANSFIELD FAMILY DENTISTRY
Active
Organization
MANSFIELD FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI BRENTLINGER BAUER RDH (RDH/OFFICE MANAGER)
(817) 473-0291
Entity
Organization
Contact information
Practice address
100 CARLIN RD, MANSFIELD, TX 76063-3454
(817) 473-0291
(682) 518-1190
Mailing address
100 CARLIN RD, MANSFIELD, TX 76063-3454
(817) 473-0291
(682) 518-1190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12539
TX
122300000X
Dentist
24538
TX
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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