# KD MACKIE DDS PLLC

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

## Provider details

- **NPI number:** 1740645936
- **Authorized official:** DR. KURT DOUGLAS MACKIE DDS (OWNER)
- **Authorized official phone:** (830) 331-7355

## Contact information

- **Practice address:** 1677 RIVER RD, 103, BOERNE, TX 78006-2446
- **Practice address phone:** (830) 331-7355
- **Mailing address:** 1677 RIVER RD, 103, BOERNE, TX 78006-2446
- **Mailing address phone:** (830) 331-7355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14092 | TX | Yes |

## Other

- **Enumeration date:** 12/15/2015
- **Last updated:** 12/15/2015