Individual
DR. TERRANCE P. MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17901 TURNERS DR, SOUTH BEND, IN 46635-1529
(574) 272-0466
(574) 277-5217
Mailing address
17901 TURNERS DR, SOUTH BEND, IN 46635-1529
(574) 272-0466
(574) 277-5217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008169A
IN
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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