Organization
ALAN F MACKS
Active
Other names
Alan Macks DMD
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN F MACKS DMD (OWNER)
(253) 476-1030
Entity
Organization
Contact information
Practice address
5319 TACOMA MALL BLVD, TACOMA, WA 98409-7072
(253) 476-1030
(253) 476-1031
Mailing address
5319 TACOMA MALL BLVD, TACOMA, WA 98409-7072
(253) 476-1030
(253) 476-1031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5728
WA
Other
Enumeration date
01/13/2017
Last updated
08/08/2017
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