Dennis Michaelson D.m.d., Ms

NPI #1265605596 in Burley, Idaho

Provider Information

NPI Number
1265605596
Entity Type
Organization
Organization Name
Dennis Michaelson D.m.d., Ms
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Apr 8, 2008
Last Updated
Apr 8, 2008

Practice Location

Address
2271 OVERLAND AVE STE 4
City
Burley
State
Idaho
ZIP Code
83318-2957
Phone
(208) 678-3265

Authorized Official

Name
DR. DENNIS J MICHAELSON, D.M.D., M.S.
Title
OWNER
Phone
(208) 678-3265

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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