| NPI | 1730853771 |
|---|---|
| Doing Business As | MAHONEY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA L MAHONEY Dentist 417-438-5924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-03-23 |