| Mansfield Family Dentistry | |
|
100 Carlin Rd Mansfield TX 76063-3454 | |
| (817) 473-0291 | |
| (682) 518-1190 |
| Full Name | Mansfield Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 100 Carlin Rd, Mansfield, Texas |
| Authorized Official Name and Position | Terri Brentlinger Bauer (RDH/OFFICE MANAGER) |
| Authorized Official Contact | 8174730291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Family Dentistry 100 Carlin Rd Mansfield TX 76063-3454 Ph: (817) 473-0291 | Mansfield Family Dentistry 100 Carlin Rd Mansfield TX 76063-3454 Ph: (817) 473-0291 |
| NPI Number | 1710289061 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710289061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12539 (Texas) | Primary |
| 122300000X | Dentist | 24538 (Texas) | Secondary |
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