Individual
MATTHEW SAMUEL SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
130 CROSS ROADS PLZ, MOUNT PLEASANT, PA 15666-2287
(724) 542-7177
Mailing address
403 TIMBERLAKE DR, VENETIA, PA 15367-1395
(724) 882-5731
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038856
PA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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