Organization
MAC DENTAL CORPORATION
Active
Parent organization
MAC DENTAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAC DENTAL GROUP
Authorized official
DR. FRANK MAC DDS (OWNER/PRESIDENT)
(240) 383-7623
Entity
Organization
Contact information
Practice address
9855 ERMA ROAD, #110, SCRIPPS PERIODONTICS, SAN DIEGO, CA 92131
(240) 383-7623
Mailing address
8534 HOPSEED LANE, SAN DIEGO, CA 92129
(240) 383-7623
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
45585
CA
Other
Enumeration date
10/11/2017
Last updated
10/31/2017
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