Organization
MANSFIELD FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDY COSTA (ADMINISTRATOR)
(508) 728-5019
Entity
Organization
Contact information
Practice address
235 CENTRAL ST, MANSFIELD, MA 02048-1341
(508) 339-3766
(508) 339-3763
Mailing address
235 CENTRAL ST, MANSFIELD, MA 02048-1341
(508) 339-3766
(508) 339-3763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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