KENYATTA MACK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032885

License Status

ACTIVE

Business

Title

DDS

First Name

KENYATTA

Last Name

MACK

Business Name

KENYATTA MACK DDS

Original Issue Date

08/25/2020

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

KING OF PRUSSIA

State

Zip

19406

Ever Disciplined

LastModifiedDate

09/20/2024