Individual
DR. DENNIS KEITH MACNAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1629 E 12TH STREET, THE DALLES, OR 97058-3212
(541) 296-2581
(541) 296-8655
Mailing address
1629 E 12TH STREET, THE DALLES, OR 97058-3212
(541) 296-2581
(541) 296-8655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6286
OR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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