Organization
DARRYL L MABRA DDS &ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL LEO MABRA DDS (PRESIDENT)
(937) 324-0095
Entity
Organization
Contact information
Practice address
125 E WARD ST, SPRINGFIELD, OH 45504-2205
(937) 324-0095
Mailing address
125 E WARD ST, SPRINGFIELD, OH 45504-2205
(937) 324-0095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16529
OH
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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