| Alan Macks Dmd | |
|
5319 Tacoma Mall Blvd Tacoma WA 98409-7072 | |
| (253) 476-1030 | |
| (253) 476-1031 |
| Full Name | Alan Macks Dmd |
|---|---|
| Speciality | Dentist |
| Location | 5319 Tacoma Mall Blvd, Tacoma, Washington |
| Authorized Official Name and Position | Alan F Macks (OWNER) |
| Authorized Official Contact | 2534761030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Macks Dmd 5319 Tacoma Mall Blvd Tacoma WA 98409-7072 Ph: (253) 476-1030 | Alan Macks Dmd 5319 Tacoma Mall Blvd Tacoma WA 98409-7072 Ph: (253) 476-1030 |
| NPI Number | 1396281309 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 08/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396281309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5728 (Washington) | Primary |
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