Individual
KURT D MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1677 RIVER RD, 103, BOERNE, TX 78006-2446
(830) 331-7355
Mailing address
1677 RIVER RD, SUITE 103, BOERNE, TX 78006-2446
(830) 331-7355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14092
TX
Other
Enumeration date
09/07/2006
Last updated
12/15/2015
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