Mackenzie Park
NPI #1033892559 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1033892559
- Entity Type
- Individual
- Name
- Mackenzie Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 10, 2023
- Last Updated
- Aug 10, 2023
Practice Location
- Address
- 698 CRESCENT ST
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02302-3360
- Phone
- (508) 583-2256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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