Search › Arizona › 1223G0001X
Thomas Mack, DDS
NPI 1659474013 · on the registry since 2006
Practice
- Address
- 17215 N 72nd Dr
Ste A100
Glendale, AZ 85308 - Phone
- (623) 582-8384
- Fax
- (623) 582-1722
- Organisation at this address
- Enticare Pc
Souza Dds Llc
Kellie M Gray Pc
Bodyz En Motion, Llc
Houshang Semino MdpcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
1223G0001X - Licence states on file
- AZ, NM, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona