Mack, Kelli C.

Mack, Kelli C. is an individual health care provider with primary practice located at 1615 Truemper St , Jbsa Lackland TX 78236-5511. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Mack, Kelli C. can be contacted via phone (210) 539-7022.

Contact Information

Primary practice address
1615 Truemper St Jbsa Lackland TX 78236-5511
Phone: (210) 539-7022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 44021 California
Dental Providers / General Practice 1223G0001X 21967 Texas
Dental Providers / General Practice 1223G0001X 44021 California

Profile Details

NPI number 1679515696
LBN Legal business name Mack, Kelli C.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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