| NPI | 1033628920 |
|---|---|
| Doing Business As | MACK AND HANSEN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SPENCER MCKENZIE MACK Owner/Orthodontist 903-212-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QD0000X Clinic/Center, Dental (Licence: TX 30007) | |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2020-11-04 |