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Individual

DR. ORRIN LEE MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
517 S MAIN ST, COTTONWOOD, AZ 86326-3902
(928) 634-8000
Mailing address
517 S MAIN ST, COTTONWOOD, AZ 86326-3902
(928) 634-8000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D008512
AZ
1223G0001X
General Practice Dentistry
Primary
D008512
AZ

Other

Enumeration date
07/16/2012
Last updated
11/13/2017
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