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Organization
MACK DENTAL CLINIC, P.C.
Active
Organization
MACK DENTAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUNG S LEE D.D.S. (PRESIDENT)
(214) 223-1856
Entity
Organization
Contact information
Practice address
2521 GREEN OAK DRIVE, CARROLLTON, TX 75010
(214) 223-1856
Mailing address
1607 MCKINNEY STREET, SUITE #100, DENTON, TX 76209-4595
(214) 223-1856
(972) 820-0372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20885
TX
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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