Kd Mackie DDS Pllc

NPI #1740645936 in Boerne, Texas

Provider Information

NPI Number: 1740645936
Entity Type: Organization
Organization Name: Kd Mackie DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Dec 15, 2015
Last Updated: Dec 15, 2015

Practice Location

Address: 1677 RIVER RD
Address 2: 103
City: Boerne
State: Texas
ZIP Code: 78006-2446
Phone: (830) 331-7355

Authorized Official

Name: DR. KURT DOUGLAS MACKIE, DDS
Title: OWNER
Phone: (830) 331-7355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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