DR. Samuel Christopher Mack, D.D.S.

NPI #1730225103 in Longview, Texas

Provider Information

NPI Number: 1730225103
Entity Type: Individual
Name: DR. Samuel Christopher Mack, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jan 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 615 N THIRD STREET
Address 2: STE 2
City: Longview
State: Texas
ZIP Code: 75601
Phone: (903) 236-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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