| NPI | 1073186458 |
|---|---|
| Doing Business As | MANSFIELD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEROME J WHITE CEO 479-431-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |