| Ronald A. Mikkelson Dds, Ps | |
|
140 Percival St Nw Ste B Olympia WA 98502-5438 | |
| (360) 754-4949 | |
| (360) 754-4948 |
| Full Name | Ronald A. Mikkelson Dds, Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 Percival St Nw Ste B, Olympia, Washington |
| Authorized Official Name and Position | Ronald A Mikkelsoon (PRESIDENT) |
| Authorized Official Contact | 3607544949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald A. Mikkelson Dds, Ps 140 Percival St Nw Ste B Olympia WA 98502-5438 Ph: (360) 754-4949 | Ronald A. Mikkelson Dds, Ps 140 Percival St Nw Ste B Olympia WA 98502-5438 Ph: (360) 754-4949 |
| NPI Number | 1699898775 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699898775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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