Organization
PEDIATRIC DENTAL CENTER OF MANSFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J. MOREAU DMD (DENTIST)
(508) 337-3307
Entity
Organization
Contact information
Practice address
905B S MAIN ST, MANSFIELD, MA 02048-3154
(508) 337-3307
(508) 337-3317
Mailing address
905B S MAIN ST, MANSFIELD, MA 02048-3154
(508) 337-3307
(508) 337-3317
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18512
MA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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