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1922299502
RICHARD TACK
CLARKSTON, MI
NPI
1922299502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901012344)
Enumeration Date
2007-08-07
Last Update Date
2007-08-07
Business Address
-- RICHARD TACK D.D.S.
7650 DIXIE HWY SUITE 120
CLARKSTON, MI 48346-2078
Phone number: 248-625-1769
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Mailing Address
-- RICHARD TACK D.D.S.
7650 DIXIE HWY SUITE 120
CLARKSTON, MI 48346-2078
Phone number: 248-625-1769
Copy
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