DR. Quinn Cooper Mikesell, D.M.D.

NPI #1205843018 in Rigby, Idaho

Provider Information

NPI Number: 1205843018
Entity Type: Individual
Name: DR. Quinn Cooper Mikesell, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Aug 2, 2006
Last Updated: Nov 25, 2015

Practice Location

Address: 711 RIGBY LAKE DR. #102
City: Rigby
State: Idaho
ZIP Code: 83442
Phone: (208) 745-8788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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