KHOHLIA MACK, DMD

Dentist

Active Individual
NPI: 1245856590

Practice Address

593 EDDY ST
Providence, RI 02903

Phone: (401) 444-4098

Specialties

Specialty Code Primary License
Dentist 122300000X Yes LD00178 (RI)

Frequently Asked Questions

NPI 1245856590 is the National Provider Identifier for KHOHLIA MACK, DMD, a Dentist provider located in Providence, RI. This NPI was enumerated on June 23, 2020.
KHOHLIA MACK, DMD practices at 593 EDDY ST, Providence, RI 02903.

Quick Facts

NPI
1245856590
Type
Individual
Enumerated
Jun 23, 2020
Last Updated
Jun 23, 2020

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