| Ivy Rose Mansfield | |
|
2170 Matlock Rd Mansfield TX 76063-3814 | |
| (682) 518-5655 | |
| Not Available |
| Full Name | Ivy Rose Mansfield |
|---|---|
| Speciality | Dentist |
| Location | 2170 Matlock Rd, Mansfield, Texas |
| Authorized Official Name and Position | Ashly Sunshine (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6363624986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Rose Mansfield 1422 Elbridge Payne Rd Ste 240 Chesterfield MO 63017-8544 Ph: () - | Ivy Rose Mansfield 2170 Matlock Rd Mansfield TX 76063-3814 Ph: (682) 518-5655 |
| NPI Number | 1457828493 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457828493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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