Individual
DR. MACY MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3751 N MAIN ST STE D, ROSWELL, NM 88201-0300
(575) 622-5835
Mailing address
16798 SUMMIT VISTA DR, SAN DIEGO, CA 92127-3434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
100466
CA
1223G0001X
General Practice Dentistry
Primary
DD4662
NM
1223G0001X
General Practice Dentistry
DS040871
PA
Other
Enumeration date
06/12/2016
Last updated
03/17/2018
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