| Mack Dental Clinic, P.c. | |
|
2521 Green Oak Drive Carrollton TX 75010 | |
| (214) 223-1856 | |
| Not Available |
| Full Name | Mack Dental Clinic, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2521 Green Oak Drive, Carrollton, Texas |
| Authorized Official Name and Position | Kyung S Lee (PRESIDENT) |
| Authorized Official Contact | 2142231856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mack Dental Clinic, P.c. 1607 Mckinney Street Suite #100 Denton TX 76209-4595 Ph: (214) 223-1856 | Mack Dental Clinic, P.c. 2521 Green Oak Drive Carrollton TX 75010 Ph: (214) 223-1856 |
| NPI Number | 1437388691 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 07/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437388691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20885 (Texas) | Primary |
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