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Mackenzie Dederich
NPI 1467185371 · on the registry since 2022
Practice
- Address
- 214 S Rochester St
Mukwonago, WI 53149 - Phone
- (262) 363-2220
- Organisation at this address
- Wisconsin Dental Group, S.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2022-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin