institution
Third Street Dental Mobile Van
Federally Qualified Health Center (FQHC) in Mansfield, Ohio
NPI 1548594526

Third Street Dental Mobile Van is a Federally Qualified Health Center (FQHC) based in Mansfield, OH and is specialized in Federally Qualified Health Center (FQHC). Third Street Dental Mobile Van practices in Mansfield, OH. The NPI Number for Third Street Dental Mobile Van is 1548594526 and holds a License No. (Ohio).

The current practice location address for Third Street Dental Mobile Van is 600 W 3Rd St, Mansfield, OH and can be reached out via phone at 419-522-6191 and via fax at 419-526-4911.

Location: 600 W 3Rd St, Mansfield, OH, 44906-2633
institution
Provider Profile Details
NPI Number
1548594526
Provider Name
Third Street Dental Mobile Van
Credential
Provider Entity Type
Organization
Address
600 W 3Rd St, Mansfield, OH, 44906-2633
Phone Number
419-522-6191
Fax Number
419-526-4911
Provider Enumeration Date
09/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 W 3Rd St
City
State
Zip
44906-2633
Phone Number
419-522-6191
Fax Number
419-526-4911
person
Provider Business Mailing Address Details
Address
600 W 3Rd St
City
State
Zip
44906-2633
Phone Number
419-522-6191
Fax Number
419-526-4911
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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