| Dynamic Dental P.c. | |
|
200 Chauncy St Suite 210 Mansfield MA 02048-1200 | |
| (508) 261-9261 | |
| (508) 261-9261 |
| Full Name | Dynamic Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Chauncy St, Mansfield, Massachusetts |
| Authorized Official Name and Position | Edita Outericka (PRESIDENT) |
| Authorized Official Contact | 5082619261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Dental P.c. 200 Chauncy St Suite 210 Mansfield MA 02048-1200 Ph: (508) 261-9261 | Dynamic Dental P.c. 200 Chauncy St Suite 210 Mansfield MA 02048-1200 Ph: (508) 261-9261 |
| NPI Number | 1134367584 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134367584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20471 (Massachusetts) | Primary |
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Daniel M. Slavsky, D.m.d., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 N Main St, Mansfield, MA 02048 Phone: 508-339-7171 Fax: 508-339-7178 |