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Organization
MAC DENTAL CORPORATION
Active
Organization
MAC DENTAL CORPORATION
Active
Parent organization
MAC DENTAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAC DENTAL GROUP
Authorized official
DR. FRANK MAC DDS (OWNER/PRESIDENT)
(240) 383-7623
Entity
Organization
Contact information
Practice address
9855 ERMA ROAD, #110, SCRIPPS PERIODONTICS, SAN DIEGO, CA 92131
(240) 383-7623
Mailing address
8534 HOPSEED LANE, SAN DIEGO, CA 92129
(240) 383-7623
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
45585
CA
Other
Enumeration date
10/11/2017
Last updated
10/31/2017
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