Individual
MACKENSY S LAKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1460 WALTON BLVD STE 204, ROCHESTER HILLS, MI 48309-1779
(248) 651-1613
Mailing address
1442 WANDREI CT, COMMERCE TOWNSHIP, MI 48382-1889
(248) 860-3531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600566
MI
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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