Iman Mack DMD

NPI 1184759425 - Dentist - 1223G0001X

NPI Details
NPI 1184759425
Gender Female
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
15 SUMMER ST
WATERTOWN MA, 02472-3466, US
Phone (617) 924-1989
Fax (617) 924-8605
Business Location
15 SUMMER ST
WATERTOWN MA, 02472-3466, US
Phone (617) 924-1989
Fax (617) 924-8605
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 18845
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According to our database, Dr. Iman Mack DMD NPI is 1184759425, taxonomy code is 1223G0001X and license number is 18845, license state is located at Massachusetts. Iman Mack DMD physically located at 15 Summer St, Watertown MA, 02472-3466. NPI Number Iman Mack DMD has the Individual type.

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1184759425 NPI number is provided on an as is basis without warranty of any kind. 1184759425 is maintained by the National Plan & Provider Enumeration System. The contents of Iman Mack DMD are for informational purposes only.