MAKENNA MARIE VIERCK

SAN FRANCISCO, CA
NPI1568070910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  105050)
Enumeration Date2020-07-21
Last Update Date2020-07-21
Business Address
MAKENNA MARIE VIERCK DMD
450 SUTTER ST RM 2320
SAN FRANCISCO, CA 94108-4209
Phone number: 425-397-2500
Mailing Address
MAKENNA MARIE VIERCK DMD
801 LYNCH RD
PETALUMA, CA 94954-9526
Phone number: 480-205-9693