Organization
KERVIN MACK DMD MS PLLC
Active
Organization
KERVIN MACK DMD MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERVIN MACK DMD, MS (OWNER)
(336) 227-5594
Entity
Organization
Contact information
Practice address
1628 MEMORIAL DR STE C, BURLINGTON, NC 27215-3596
(336) 227-5594
Mailing address
1628 MEMORIAL DR STE C, BURLINGTON, NC 27215-3596
(336) 227-5594
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8824
NC
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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