DR. Nicole Serra Van Mieghem, DDS

NPI #1558436428 in Edmonds, Washington

Provider Information

NPI Number: 1558436428
Entity Type: Individual
Name: DR. Nicole Serra Van Mieghem, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 120 W DAYTON ST
Address 2: SUITE C-2
City: Edmonds
State: Washington
ZIP Code: 98020-7217
Phone: (425) 778-7477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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