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Organization

RAFFIC A. MACKIE D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY GOUTIMY (OFFICE MANAGER)
(313) 841-5522
Entity
Organization

Contact information

Practice address
9925 DIX, SUITE 101, DEARBORN, MI 48120-1593
(313) 841-5522
(313) 841-8170
Mailing address
9925 DIX, SUITE 101, DEARBORN, MI 48120-1593
(313) 841-5522
(313) 841-8170

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11656
MI

Other

Enumeration date
05/31/2007
Last updated
08/22/2020
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