DR. Stephen R Mackiw, D.D.S., P.C.
NPI #1205948734 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1205948734
- Entity Type
- Individual
- Name
- DR. Stephen R Mackiw, D.D.S., P.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S., P.C.
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3900 EUBANK BLVD NE
- Address 2
- SUITE 4
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87111-3465
- Phone
- (505) 298-6732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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