Individual
DR. MICHAEL JAMES MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6677 W THUNDERBIRD RD, STE H 120, GLENDALE, AZ 85306
(623) 792-5794
(623) 792-5809
Mailing address
6677 W THUNDERBIRD RD, STE H 120, GLENDALE, AZ 85306
(623) 792-5794
(623) 792-5809
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D3178
AZ
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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