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Organization

THOMAS STACK & ASSOCIATES, DDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS JOSEPH STACK DDS (DENTIST)
(301) 318-0652
Entity
Organization

Contact information

Practice address
20 E TIMONIUM RD STE 300, TIMONIUM, MD 21093-3458
(301) 318-0652
Mailing address
217 CABERNET ST, MILLERSVILLE, MD 21108-1280
(301) 318-0652

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/11/2019
Last updated
02/11/2019
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