Search › Oklahoma › 122300000X
Katelyn Mack, DMD
NPI 1750764031 · on the registry since 2015
Practice
- Address
- 4425 Grant Blvd. Custom Dental Of Yukon
Yukon, OK 73099 - Phone
- (405) 494-4877
- Fax
- (405) 494-4184
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-02
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 Oklahoma