Organization · Type 2 NPI

Pediatric Dentristry of Mansfield,pllc

Pediatric Dentistry · Mansfield, TX

NPI number 1508133224 Active

Practice location

1830 E Broad St, STE104
Mansfield, TX 76063-9162

Fax (817) 473-2594

Mailing address

1830 E Broad St Ste 104
Mansfield, TX 76063-9161

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1508133224

Pediatric Dentristry of Mansfield,pllc's National Provider Identifier is 1508133224, issued on Nov 23, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mansfield, TX. The record was last updated on Dec 30, 2014.