Individual
MACKENZIE MARIE KLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4075 W LAKE RD, GENEVA, NY 14456-9756
(315) 789-5040
Mailing address
1890 COUNTY ROAD 6, PHELPS, NY 14532-9533
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
030297
NY
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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