Individual
WILLIAM MICHAEL MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5128
(502) 852-7163
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5128
(502) 852-7163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5491
KY
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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