DENNIS DYLAN MACK

SANTA MARIA, CA
NPI1013746320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  65186)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2024-07-26
Last Update Date2025-02-24
Business Address
DENNIS DYLAN MACK
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454-7023
Phone number: 805-621-7714
Mailing Address
DENNIS DYLAN MACK
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454-7023
Phone number: