Mack Dental
NPI #1942840004 in Longview, Texas
Provider Information
- NPI Number
- 1942840004
- Entity Type
- Organization
- Organization Name
- Mack Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 7, 2020
- Last Updated
- Jan 7, 2020
Practice Location
Authorized Official
- Name
- TRICIA ADKISSON
- Title
- BUSINESS MANAGER
- Phone
- (903) 236-4050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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