MRS. Jennifer Catherine Mickle, RDH

NPI #1275511917 in Las Vegas, Nevada

Provider Information

NPI Number: 1275511917
Entity Type: Individual
Name: MRS. Jennifer Catherine Mickle, RDH
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jan 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4700 LAS VEGAS BLVD N
Address 2: SUITE 2419
City: Las Vegas
State: Nevada
ZIP Code: 89191-6600
Phone: (702) 653-2654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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