Individual
HEATHER RENEE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
508 W HIGHWAY 76, ANDERSON, MO 64831-8548
(417) 845-2243
(714) 845-2253
Mailing address
PO BOX 1136, ANDERSON, MO 64831-1136
(417) 845-2273
(417) 845-2253
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
003679
MO
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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