Most Relevant Information
Provider Data
| NPI Number: | 1003268475 |
| Provider Name: | MARILYN MACKEPRANG |
| Entity Type: | Individual |
| Taxonomy Code: | 126800000X |
| Specialty: | Dental Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2016 |
| Last Updated: | 07/08/2016 |
Provider Practice Location
2817 REILLY ST
FORT BRAGG
NC
283107324
Practice Location Phone/Fax
| Phone: | 9106432196 |
| Fax: |
Provider Mailing Location
2817 REILLY ST
FORT BRAGG
NC
283107324
Provider Mailing Phone/Fax
| Phone: | 9106432196 |
| Fax: |