DR. Thomas Robert Machak, D.D.S.

NPI #1790752020 in Omro, Wisconsin

Provider Information

NPI Number
1790752020
Entity Type
Individual
Name
DR. Thomas Robert Machak, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
123 W MAIN ST
City
Omro
ZIP Code
54963-1333
Phone
(920) 685-5893

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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