Individual
MS. MACKENZIE S CLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1850 E 53RD ST STE 5, DAVENPORT, IA 52807-2784
(309) 221-3308
Mailing address
1515 STATE ST APT 235, BETTENDORF, IA 52722-1270
(309) 221-3308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101184
IA
1223G0001X
General Practice Dentistry
019.033192
IL
Other
Enumeration date
06/15/2021
Last updated
01/11/2024
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