MICAH DICKERSON

WASHINGTON, DC
NPI1013782077
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: DC  DEN2000422)
Enumeration Date2023-11-20
Last Update Date2024-12-19
Business Address
MICAH DICKERSON
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019-2662
Phone number: 312-274-4530
Mailing Address
MICAH DICKERSON
6711 S SEPULVEDA BLVD
LOS ANGELES, CA 90045-2782
Phone number: