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Organization

SAMANTHA THOMAS DDS LLC

Active
Other names
Mahoney Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMANTHA L MAHONEY DDS (DENTIST)
(417) 438-5924
Entity
Organization

Contact information

Practice address
906 E OHIO ST, CLINTON, MO 64735-2306
(417) 438-5924
Mailing address
1306 N VANSANT RD, CLINTON, MO 64735-9303
(417) 438-5924

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/03/2021
Last updated
03/23/2022
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