| Pediatric Dental Center Of Mansfield | |
|
905b S Main St Mansfield MA 02048-3154 | |
| (508) 337-3307 | |
| (508) 337-3317 |
| Full Name | Pediatric Dental Center Of Mansfield |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 905b S Main St, Mansfield, Massachusetts |
| Authorized Official Name and Position | Robert J. Moreau (DENTIST) |
| Authorized Official Contact | 5083373307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Center Of Mansfield 905b S Main St Mansfield MA 02048-3154 Ph: (508) 337-3307 | Pediatric Dental Center Of Mansfield 905b S Main St Mansfield MA 02048-3154 Ph: (508) 337-3307 |
| NPI Number | 1982876942 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982876942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18512 (Massachusetts) | Primary |
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