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Organization

C-MAC DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES MCKENZIE DDS (DENTIST)
(480) 491-1313
Entity
Organization

Contact information

Practice address
2103 E SOUTHERN AVE, TEMPE, AZ 85282-7503
(480) 491-1313
(480) 491-1926
Mailing address
2103 E SOUTHERN AVE, TEMPE, AZ 85282-7503
(480) 491-1313
(480) 491-1926

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7636
AZ

Other

Enumeration date
09/26/2008
Last updated
09/26/2008
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