Samuel Tack
NPI #1033658406 in Richmond, Virginia
Provider Information
- NPI Number
- 1033658406
- Entity Type
- Individual
- Name
- Samuel Tack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Feb 18, 2017
- Last Updated
- Sep 11, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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