DR. Peter Louis Michelich, D.D.S.

NPI #1649352501 in Plymouth, Minnesota

Provider Information

NPI Number
1649352501
Entity Type
Individual
Name
DR. Peter Louis Michelich, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4000 ANNAPOLIS LN N
Address 2
SUITE 103
ZIP Code
55447-5480
Phone
(763) 551-0501

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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