Individual
DR. MACKENZIE KING PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11183 205TH ST. W., LAKEVILLE, MN 55044
(952) 469-4588
Mailing address
11183 205TH ST. W., LAKEVILLE, MN 55044
(952) 469-4588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11800
MN
Other
Enumeration date
09/26/2006
Last updated
10/15/2007
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