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Individual
DR. JUSTIN LEWIS TOMACK
Active
Individual
DR. JUSTIN LEWIS TOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1858766
MA
1223P0300X
Periodontics
Primary
12463
NC
Other
Enumeration date
07/02/2020
Last updated
06/04/2023
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