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Organization

KD MACKIE DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KURT DOUGLAS MACKIE DDS (OWNER)
(830) 331-7355
Entity
Organization

Contact information

Practice address
1677 RIVER RD, 103, BOERNE, TX 78006-2446
(830) 331-7355
Mailing address
1677 RIVER RD, 103, BOERNE, TX 78006-2446
(830) 331-7355

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14092
TX

Other

Enumeration date
12/15/2015
Last updated
12/15/2015
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