| Kd Mackie Dds Pllc | |
|
1677 River Rd 103 Boerne TX 78006-2446 | |
| (830) 331-7355 | |
| Not Available |
| Full Name | Kd Mackie Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1677 River Rd, Boerne, Texas |
| Authorized Official Name and Position | Kurt Douglas Mackie (OWNER) |
| Authorized Official Contact | 8303317355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kd Mackie Dds Pllc 1677 River Rd 103 Boerne TX 78006-2446 Ph: (830) 331-7355 | Kd Mackie Dds Pllc 1677 River Rd 103 Boerne TX 78006-2446 Ph: (830) 331-7355 |
| NPI Number | 1740645936 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740645936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14092 (Texas) | Primary |
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