Individual
DR. MACKENZIE ELIZABETH BOYLES-HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1315 MORGANTOWN AVE, FAIRMONT, WV 26554-4505
(304) 777-4113
Mailing address
1315 MORGANTOWN AVE, FAIRMONT, WV 26554-4505
(304) 777-4113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4154
WV
Other
Enumeration date
06/03/2015
Last updated
01/17/2019
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