Organization
HARRIS MDA, PLLC
Active
Other names
Mansfield Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SETH HARRIS DDS (MANAGING MEMBER)
(817) 287-8463
Entity
Organization
Contact information
Practice address
1700 COUNTRY CLUB DR, MANSFIELD, TX 76063-2615
(817) 473-6227
Mailing address
1700 COUNTRY CLUB DR, MANSFIELD, TX 76063-2615
(817) 473-6227
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104112135
NPI
—
Enumeration date
05/29/2020
Last updated
05/29/2020
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