Fred Thomas Mackenzie DMD

NPI 1083627251 - Dentist - 1223G0001X

NPI Details
NPI 1083627251
Gender Male
Enumeration Date 08/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
266 CABOT ST
STE #1
BEVERLY MA, 01915, US
Phone (978) 927-1188
Fax (978) 921-5012
Business Location
266 CABOT ST
STE #1
BEVERLY MA, 01915, US
Phone (978) 927-1188
Fax (978) 921-5012
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number MA12112
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According to our database, Dr. Fred Thomas Mackenzie DMD NPI is 1083627251, taxonomy code is 1223G0001X and license number is MA12112, license state is located at Massachusetts. Fred Thomas Mackenzie DMD physically located at 266 Cabot St, Beverly MA, 01915. NPI Number Fred Thomas Mackenzie DMD has the Individual type.

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1083627251 NPI number is provided on an as is basis without warranty of any kind. 1083627251 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Thomas Mackenzie DMD are for informational purposes only.