Individual
LUKE MACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4911 W ST JOE HWY # 202, LANSING, MI 48917-4088
(517) 321-1848
Mailing address
3641 ALLIUM DR, HOLT, MI 48842-8769
(586) 453-2576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600850
MI
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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