KELLY B. MANSFIELD

NAMPA, ID
NPI1982616983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3113)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
Dr. KELLY B. MANSFIELD D.D.S.
109 12TH AVE RD
NAMPA, ID 83686-5047
Phone number: 208-467-9271
Mailing Address
Dr. KELLY B. MANSFIELD D.D.S.
109 12TH AVE RD
NAMPA, ID 83686-5047
Phone number: 208-467-9271
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