Individual
DR. THOMAS PATRICK MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
63 BAY TREE LN, LOS ALTOS, CA 94022-4624
(650) 941-6909
(650) 942-1839
Mailing address
63 BAY TREE LN, LOS ALTOS, CA 94022-4624
(650) 941-6909
(650) 942-1839
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22246
CA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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