Madison Mack, DDS
NPI #1164977997 in Longview, Texas
Provider Information
- NPI Number
- 1164977997
- Entity Type
- Individual
- Name
- Madison Mack, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Aug 22, 2016
- Last Updated
- Aug 22, 2016
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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