Individual
DR. THOMAS ALAN MACAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2810 GILMAN DR, PLOVER, WI 54467-2702
(715) 344-0684
Mailing address
2810 GILMAN DR, PLOVER, WI 54467-2702
(715) 344-0684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2716
WI
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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