| NPI | 1225401383 |
|---|---|
| Doing Business As | MACK DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAM LINAVONG Manager 469-569-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |