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SR MANSFIELD LLC 1285302737

Overview
Name: SR MANSFIELD LLC Specialty: Dental Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Dental. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: SR MANSFIELD LLC,126 JEFFERSON ST,MANSFIELD,LA,710522600,US Mailing Address: SR MANSFIELD LLC,126 JEFFERSON ST,MANSFIELD,LA,710522600,US
Contact #
Practice location phone #: 3188721557 Practice location fax #: Mailing address Phone #: 3188721557 Mailing Address fax #: Authorized official Name/Telephone #:ABIGAIL, HOWELL, PRACTICE MANAGER 3182942241
Misc
Date NPI was obtained: 08/31/2021 Last data data was updated: 08/31/2021 Insurances:

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