Individual
DR. MACKENZIE ELIZABETH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
718 W YELM AVE STE 3, YELM, WA 98597-8764
(360) 458-5606
Mailing address
3823 GOLDFINCH DR SE, LACEY, WA 98503-7125
(360) 480-6026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60955676
WA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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