# RAFFIC A. MACKIE D.D.S., P.C.& ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104027127
- **Authorized official:** MISS KIMBERLY GOUTIMY (OFFICE MANAGER)
- **Authorized official phone:** (313) 834-9551

## Contact information

- **Practice address:** 7911 WYOMING ST, DEARBORN, MI 48126-1223
- **Practice address phone:** (313) 834-9551
- **Practice address fax:** (313) 834-9595
- **Mailing address:** 7911 WYOMING ST, DEARBORN, MI 48126-1223
- **Mailing address phone:** (313) 834-9551
- **Mailing address fax:** (313) 834-9595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11656 | MI | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 08/22/2020