MARK LYLE MUCKEY

IONE, CA
NPI1609053933
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  27806)
Enumeration Date2008-01-29
Last Update Date2008-01-29
Business Address
Dr. MARK LYLE MUCKEY D.D.S.
201 WATERMAN RD
IONE, CA 95640-9701
Phone number: 209-274-8245
Mailing Address
Dr. MARK LYLE MUCKEY D.D.S.
201 WATERMAN RD
IONE, CA 95640-9701
Phone number: 209-274-8245