| C-mac Dental Llc | |
|
2103 E Southern Ave Tempe AZ 85282-7503 | |
| (480) 491-1313 | |
| (480) 491-1926 |
| Full Name | C-mac Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 2103 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Charles Mckenzie (DENTIST) |
| Authorized Official Contact | 4804911313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C-mac Dental Llc 2103 E Southern Ave Tempe AZ 85282-7503 Ph: (480) 491-1313 | C-mac Dental Llc 2103 E Southern Ave Tempe AZ 85282-7503 Ph: (480) 491-1313 |
| NPI Number | 1639329501 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 09/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639329501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7636 (Arizona) | Primary |
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