Individual
MACKENZIE EDWARDS DZIEDZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3150 ROGERS RD STE 110, WAKE FOREST, NC 27587-4196
(919) 263-9163
(919) 263-9408
Mailing address
3150 ROGERS RD STE 110, WAKE FOREST, NC 27587-4196
(919) 263-9163
(919) 263-9408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2618
NC
Other
Enumeration date
08/28/2020
Last updated
03/19/2024
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