Ronald A Mikkelson, DDS
NPI #1255407250 in Olympia, Washington
Provider Information
- NPI Number
- 1255407250
- Entity Type
- Individual
- Name
- Ronald A Mikkelson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 140 N PERCIVAL SUITE B
- City
- Olympia
- State
- Washington
- ZIP Code
- 98502-5438
- Phone
- (360) 754-4949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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