Individual
DR. LESLIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2 QUINCY DR, LEVITTOWN, PA 19057-1924
(215) 945-3313
Mailing address
23 SCHOOL LN, WILLOW GROVE, PA 19090-4216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040114
PA
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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