MICHAEL WILLIAM MACKENZIE

DESTREHAN, LA
NPI1861588980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  3088)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
-- MICHAEL WILLIAM MACKENZIE DDS
13592 RIVER RD SUITE #1
DESTREHAN, LA 70047-5073
Phone number: 985-764-2351
Mailing Address
-- MICHAEL WILLIAM MACKENZIE DDS
13592 RIVER RD SUITE #1
DESTREHAN, LA 70047-5073
Phone number: 985-764-2351
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