Individual
DR. KATIE LAUREN MACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10806 COVE POINT DR, CHARLOTTE, NC 28278-6944
(410) 303-6893
Mailing address
10806 COVE POINT DR, CHARLOTTE, NC 28278-6944
(410) 303-6893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10329
CT
1223G0001X
General Practice Dentistry
Primary
9550
NC
Other
Enumeration date
06/12/2009
Last updated
06/14/2021
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