Kenyatta Mack-gates DDS

NPI 1023007374 - Dentist - 1223G0001X

NPI Details
NPI 1023007374
Gender Female
Enumeration Date 10/19/2005
Last Updated 07/31/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
61 ORANGE PLAZA LN
MIDDLETOWN NY, 10940-2254, US
Phone (845) 344-3844
Fax
Business Location
61 ORANGE PLAZA LN
MIDDLETOWN NY, 10940-2254, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 12933
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According to our database, Dr. Kenyatta Mack-gates DDS NPI is 1023007374, taxonomy code is 1223G0001X and license number is 12933, license state is located at Maryland. Kenyatta Mack-gates DDS physically located at 61 Orange Plaza Ln, Middletown NY, 10940-2254. NPI Number Kenyatta Mack-gates DDS has the Individual type.

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1023007374 NPI number is provided on an as is basis without warranty of any kind. 1023007374 is maintained by the National Plan & Provider Enumeration System. The contents of Kenyatta Mack-gates DDS are for informational purposes only.