Organization
MAHAFFEY FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN WILLIAM MAHAFFEY D.D.S. (MEMBER)
(417) 887-3573
Entity
Organization
Contact information
Practice address
509 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-4121
(417) 887-3573
(417) 887-3585
Mailing address
509 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-4121
(417) 887-3573
(417) 887-3585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11799
MO
122300000X
Dentist
2005015640
MO
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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