DR. Alphonso L. Mack, D.M.D.
NPI #1043237704 in Bloomfield, Connecticut
Provider Information
- NPI Number
- 1043237704
- Entity Type
- Individual
- Name
- DR. Alphonso L. Mack, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2 WINTONBURY MALL
- Address 2
- BUILDING #5
- City
- Bloomfield
- State
- Connecticut
- ZIP Code
- 06002-2466
- Phone
- (860) 243-5451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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