Individual
DR. JESSICA LYNN MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
337 6TH AVE, INDIALANTIC, FL 32903-4301
(321) 723-5244
(321) 723-9455
Mailing address
337 6TH AVE, INDIALANTIC, FL 32903-4301
(321) 723-5244
(321) 723-9455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 14331
FL
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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