DR. Mark Lyle Muckey, D.D.S.
NPI #1609053933 in Ione, California
Provider Information
- NPI Number
- 1609053933
- Entity Type
- Individual
- Name
- DR. Mark Lyle Muckey, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jan 29, 2008
- Last Updated
- Jan 29, 2008
Practice Location
- Address
- 201 WATERMAN RD
- City
- Ione
- State
- California
- ZIP Code
- 95640-9701
- Phone
- (209) 274-8245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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