Individual
DR. WILLIAM THOMAS MCKENZIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
3443 TAMIAMI TRL, SUITE D, PORT CHARLOTTE, FL 33952-8159
(941) 629-3443
(941) 629-7616
Mailing address
3443 TAMIAMI TRL, SUITE D, PORT CHARLOTTE, FL 33952-8159
(941) 629-3443
(941) 629-7616
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN11486
FL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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