Mikelson & Mikelson P.c.

NPI #1124215272 in Chicago, Illinois

Provider Information

NPI Number
1124215272
Entity Type
Organization
Organization Name
Mikelson & Mikelson P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 2, 2007
Last Updated
Oct 2, 2007

Practice Location

Address
3838 W 111TH ST STE 105
ZIP Code
60655-4042
Phone
(773) 233-6300

Authorized Official

Name
DR. ROBERT C. MIKELSON JR., D.D.S.
Title
PRESIDENT
Phone
(773) 233-6300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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