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1205944923
DAVID RAY MACK
BELLEVUE, NE
NPI
1205944923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 6375)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
Dr. DAVID RAY MACK
11536 S 31ST ST
BELLEVUE, NE 68123-5529
Phone number: 402-291-4468
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Mailing Address
Dr. DAVID RAY MACK
11536 S 31ST ST
BELLEVUE, NE 68123-5529
Phone number: 402-291-4468
Copy
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