Organization
RAFFIC A. MACKIE D.D.S., P.C.& ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY GOUTIMY (OFFICE MANAGER)
(313) 834-9551
Entity
Organization
Contact information
Practice address
7911 WYOMING ST, DEARBORN, MI 48126-1223
(313) 834-9551
(313) 834-9595
Mailing address
7911 WYOMING ST, DEARBORN, MI 48126-1223
(313) 834-9551
(313) 834-9595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11656
MI
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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