SearchLouisiana1223G0001X

Michael Mackenzie, DDS

NPI 1861588980 · on the registry since 2006 · sole proprietor

Practice

Address
13592 River Rd
Suite #1
Destrehan, LA 70047
Phone
(985) 764-2351
Fax
(985) 764-7510

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Louisiana