DR. Thomas R Michaelis, DDS MD

NPI #1518029115 in Costa Mesa, California

Provider Information

NPI Number: 1518029115
Entity Type: Individual
Name: DR. Thomas R Michaelis, DDS MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS MD
Enumeration Date: Dec 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1801 NEWPORT BOULEVARD
Address 2: SUITE C
City: Costa Mesa
State: California
ZIP Code: 92627
Phone: (949) 650-1030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
Al Khateeb D.d.s Dental Corporation	Dentist - Oral and Maxillofacial Surgery	Costa Mesa	AI Deep Dive

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