MRS. Katelyn Mack, DMD

NPI #1750764031 in Yukon, Oklahoma

Provider Information

NPI Number: 1750764031
Entity Type: Individual
Name: MRS. Katelyn Mack, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 3, 2015
Last Updated: Oct 2, 2023

Practice Location

Address: 4425 GRANT BLVD. CUSTOM DENTAL OF YUKON
City: Yukon
State: Oklahoma
ZIP Code: 73099
Phone: (405) 494-4877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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