Individual
AMANDA MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20518 PEAK AVE, BEND, OR 97702-2934
(209) 840-8149
Mailing address
20518 PEAK AVE, BEND, OR 97702-2934
(209) 840-8149
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8250
OR
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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