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Harris Mda, Pllc
Dental Clinic/Center in Mansfield, Texas
NPI 1407470024

Harris Mda, Pllc is a Dental Clinic/Center based in Mansfield, TX and is specialized in Dental. Harris Mda, Pllc practices in Mansfield, TX. The NPI Number for Harris Mda, Pllc is 1407470024 and holds a License No. (Texas).

The current practice location address for Harris Mda, Pllc is 1700 Country Club Dr, Mansfield, TX and can be reached out via phone at 817-473-6227.

Location: 1700 Country Club Dr, Mansfield, TX, 76063-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407470024
Provider Name
Harris Mda, Pllc
Credential
Provider Entity Type
Organization
Address
1700 Country Club Dr, Mansfield, TX, 76063-2615
Phone Number
817-473-6227
Fax Number
Provider Enumeration Date
05/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104112135 01 NPI
institution
Provider Business Practice Location Address Details
Address
1700 Country Club Dr
City
Mansfield
State
Texas
Zip
76063-2615
Phone Number
817-473-6227
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Country Club Dr
City
Mansfield
State
Texas
Zip
76063-2615
Phone Number
817-473-6227
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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