Individual
DEN P TATI-MACKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1177 KATY MEADOW CT, FAIRBORN, OH 45324-8720
(443) 653-7755
(443) 653-7755
Mailing address
1177 KATY MEADOW CT, FAIRBORN, OH 45324-8720
(443) 653-7755
(443) 653-7755
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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