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1013782077
MICAH DICKERSON
WASHINGTON, DC
NPI
1013782077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: DC DEN2000422)
Enumeration Date
2023-11-20
Last Update Date
2024-12-19
Business Address
MICAH DICKERSON
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019-2662
Phone number: 312-274-4530
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Mailing Address
MICAH DICKERSON
6711 S SEPULVEDA BLVD
LOS ANGELES, CA 90045-2782
Phone number:
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