Organization
CAMP-MACK ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ANDREW MACK D.D.S. (PRESIDENT)
(903) 758-3444
Entity
Organization
Contact information
Practice address
1003 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-3261
(903) 577-1123
(903) 577-1125
Mailing address
3004 H G MOSLEY PKWY, LONGVIEW, TX 75605-2948
(903) 758-3444
(903) 758-1967
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14659
TX
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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