DR. Thomas Joseph Stack, DDS

NPI #1356363741 in Ballston Lake, New York

Provider Information

NPI Number: 1356363741
Entity Type: Individual
Name: DR. Thomas Joseph Stack, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 331 USHERS RD
City: Ballston Lake
State: New York
ZIP Code: 12019-1546
Phone: (518) 877-7452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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