Organization
MANSFIELD ENDODONTICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL KISER D.D.S., M.S. (OWNER)
(419) 756-2880
Entity
Organization
Contact information
Practice address
1245 S TRIMBLE RD, MANSFIELD, OH 44907-2229
(419) 756-2880
(419) 775-8820
Mailing address
1245 S TRIMBLE RD, MANSFIELD, OH 44907-2229
(419) 756-2880
(419) 775-8820
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21063
OH
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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