Individual
DR. JUSTIN LEWIS TOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1725 S MAIN ST STE 101, WAKE FOREST, NC 27587-5012
(919) 841-1720
Mailing address
1725 S MAIN ST STE 101, WAKE FOREST, NC 27587-5012
(919) 841-1720
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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