Individual
CLIFFORD MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
580 DESHONG DR, PARIS, TX 75460-9318
(903) 784-1900
Mailing address
580 DESHONG DR, PARIS, TX 75460-9318
(903) 784-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13363
TX
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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