Individual
MR. JOHN S MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DN
Contact information
Practice address
7204 E SPRAGUE AVE, SPOKANE VALLEY, WA 99212-0631
(509) 928-9337
(509) 928-9395
Mailing address
7204 E SPRAGUE AVE, SPOKANE VALLEY, WA 99212-0631
(509) 928-9337
(509) 928-9395
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5022512
—
WA
Enumeration date
04/16/2007
Last updated
07/09/2007
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