Individual
DR. MICHAEL EDWARD MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7060 SPRING MEADOWS W DR, SUITE B, HOLLAND, OH 43528-8061
(419) 867-7100
(419) 867-7103
Mailing address
7060 SPRING MEADOWS WEST DR., SUITE B, HOLLAND, OH 43528
(419) 867-7100
(419) 867-7103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022132
OH
Other
Enumeration date
12/06/2006
Last updated
05/18/2010
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