Individual
ELIZABETH MARIE MACKALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8622
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN23937
FL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DN23937
FL
Other
Enumeration date
03/07/2018
Last updated
10/09/2025
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