THOMAS A SLACK

PORTAGE, MI
NPI1669433793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MI  2901013823)
Enumeration Date2006-03-29
Last Update Date2020-10-20
Business Address
Dr. THOMAS A SLACK DDS
3801 GLENKERRY CT
PORTAGE, MI 49024-0718
Phone number: 269-323-1527
Mailing Address
Dr. THOMAS A SLACK DDS
3801 GLENKERRY CT
PORTAGE, MI 49024-0718
Phone number: 269-323-1527
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