Organization
BROAD PARK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAX MICHAEL SINN DDS (OWNER)
(817) 473-6857
Entity
Organization
Contact information
Practice address
1750 E BROAD ST, MANSFIELD, TX 76063-3400
(817) 473-6857
Mailing address
1750 E BROAD ST, MANSFIELD, TX 76063-3400
(817) 473-6857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D21075
TX
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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