DR. Michael John Mack, D.D.S.
NPI #1508952375 in Cos Cob, Connecticut
Provider Information
- NPI Number
- 1508952375
- Entity Type
- Individual
- Name
- DR. Michael John Mack, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 40 E. PUTNAM AVE.
- City
- Cos Cob
- State
- Connecticut
- ZIP Code
- 06807
- Phone
- (203) 661-2279
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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