DR. J Ryan Mickelson, D.D.S.

NPI #1346351624 in Durango, Colorado

Provider Information

NPI Number
1346351624
Entity Type
Individual
Name
DR. J Ryan Mickelson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 31, 2006
Last Updated
Feb 15, 2024

Practice Location

Address
2530 COLORADO AVE
Address 2
SUITE 1A
ZIP Code
81301-4760
Phone
(970) 247-0174

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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