DR. Richard W Michaelis, DDS

NPI #1730156019 in West Babylon, New York

Provider Information

NPI Number
1730156019
Entity Type
Individual
Name
DR. Richard W Michaelis, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 4, 2006
Last Updated
Dec 4, 2009

Practice Location

Address
982 SUNRISE HWY
ZIP Code
11704-6110
Phone
(631) 321-1418

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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