Individual
DR. KENT BREEDLOVE MACAULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3737 WILLIAMS DRIVE, GEORGETOWN, TX 78628
(512) 930-1233
(512) 868-2102
Mailing address
602 E LIBERTY AVE, ROUND ROCK, TX 78664
(512) 255-5126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10612
TX
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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