Individual
DR. BALEIGH PAIGE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2200 HORSESHOE LN, LONGVIEW, TX 75605-5648
(903) 753-3673
Mailing address
2200 HORSESHOE LN, LONGVIEW, TX 75605-5648
(039) 753-3673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35241
TX
Other
Enumeration date
08/27/2019
Last updated
09/20/2022
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