Individual
DR. EMILY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7200 W BELL RD STE C3, GLENDALE, AZ 85308-8530
(314) 791-1144
Mailing address
20425 N 7TH ST APT 2114, PHOENIX, AZ 85024-6015
(314) 791-1144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009766
AZ
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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