Organization
LACANAS HERRING MACK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LACANAS HERRING MACK DDS (GENERAL DENTIST)
(901) 452-3211
Entity
Organization
Contact information
Practice address
183 TILLMAN ST, MEMPHIS, TN 38111-2721
(901) 452-3211
Mailing address
183 TILLMAN ST, MEMPHIS, TN 38111-2721
(901) 452-3211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7919
TN
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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