Individual
DR. STEVEN J MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1906 MIDDLE ROAD, BETTENDORF, IA 52722
(563) 359-4686
(563) 359-4696
Mailing address
1906 MIDDLE ROAD, BETTENDORF, IA 52722
(563) 359-4686
(563) 359-4696
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
O7785
IA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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