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Organization
SDS-BILL OWENS PKWY PLLC
Active
Organization
SDS-BILL OWENS PKWY PLLC
Active
Other names
SDS-#3 Doctors Circle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL CHRISTOPHER MACK DDS (MANAGER)
(903) 236-4050
Entity
Organization
Contact information
Practice address
3 DOCTOR CIR, LONGVIEW, TX 75605-5050
(903) 757-2495
(903) 757-3707
Mailing address
3 DOCTOR CIR, LONGVIEW, TX 75605-5050
(903) 757-2495
(903) 757-3707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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