Individual
DR. MATTHEW EUGENE MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2729 STATE ROUTE 76 WEST, WILLOW SPRINGS, MO 65793
(417) 469-2030
(417) 469-5085
Mailing address
PO BOX 2, WILLOW SPRINGS, MO 65793
(417) 469-2030
(417) 469-5085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2000157567
MO
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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