Individual
MRS. MARIA GESIOTTO MACKAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
632 DAVIS ST, SCRANTON, PA 18505-4666
(570) 969-1838
(570) 963-5790
Mailing address
535 SIMERELL RD, CLARKS SUMMIT, PA 18411-8849
(570) 586-4594
(570) 586-3596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 027 288L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01411350
—
PA
Enumeration date
07/03/2007
Last updated
07/08/2007
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