David R. Mack, Dds, PC

NPI #1346502598 in Bellevue, Nebraska

Provider Information

NPI Number: 1346502598
Entity Type: Organization
Organization Name: David R. Mack, Dds, PC
Primary Specialty: Dentist
Enumeration Date: Jun 13, 2012
Last Updated: Jun 13, 2012

Practice Location

Address: 11536 S 31ST ST
City: Bellevue
State: Nebraska
ZIP Code: 68123-5529
Phone: (402) 291-4468

Authorized Official

Name: DR. DAVID RAY MAICK
Title: OWNER
Phone: (402) 291-4468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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