John F Mack, D.D.S.
Dentist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1043400534
StatusActive
Last updated in NPPESApr 11, 2016
Details
- NPI
- 1043400534
- Entity type
- Individual (NPI-1)
- Name
- John F Mack
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2007
- Last updated
- Apr 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4652 | NV | Yes |
Practice location
1580 E Desert Inn RdLas Vegas, NV 89169-2548
Phone 702-655-6777 · Fax 702-547-3522
Mailing address
1580 E Desert Inn RdLas Vegas, NV 89169-2548
Phone 702-655-6777 · Fax 702-547-3522
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