Individual
DEBORAH R MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
ASPC-LEWIS, 26700 SOUTH HIGHWAY 85, BUCKEYE, AZ 85326
(480) 651-3624
Mailing address
21562 N 72ND WAY, SCOTTSDALE, AZ 85255-4735
(760) 417-3526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10355
AZ
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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