Organization
KEITH A WING DDS & MATTHEW P MACK CHRISTOPHER R SMITH DDS INC
Active
Other names
Wing, Mack & Smith DDS, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MACK DDS (DENTIST/ OWNER)
(740) 344-9155
Entity
Organization
Contact information
Practice address
1420 DICKERSON ST, NEWARK, OH 43055-1844
(740) 344-9155
(740) 344-5668
Mailing address
1420 DICKERSON ST, NEWARK, OH 43055-1844
(740) 344-9155
(740) 344-5668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30 021474
OH
Other
Enumeration date
10/27/2014
Last updated
10/31/2014
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