Individual
DR. ROY ALEXANDER MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1055 W 5TH ST, MARYSVILLE, OH 43040-8668
(937) 642-8500
Mailing address
1055 W 5TH ST, MARYSVILLE, OH 43040-8668
(937) 642-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.023450
OH
Other
Enumeration date
06/17/2011
Last updated
10/19/2023
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