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Organization

WILLIAM R. MACKIE II, D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM ROLAND MACKIE II D.D.S. (PRESIDENT)
(303) 466-2221
Entity
Organization

Contact information

Practice address
925 MAIN ST, SUITE B, BROOMFIELD, CO 80020-1973
(303) 466-2221
(303) 466-7735
Mailing address
925 MAIN ST, SUITE B, BROOMFIELD, CO 80020-1973
(303) 466-2221
(303) 466-7735

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100968
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700898715
NPI1
CO
Enumeration date
05/11/2007
Last updated
08/22/2020
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