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1497365134
LAYTON MIKKALSON
CAMP LEJEUNE, NC
NPI
1497365134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NC 12298)
Additional Taxonomies
122300000X Dentist
(Licence: MN D14449)
Enumeration Date
2020-08-07
Last Update Date
2023-02-27
Business Address
Dr. LAYTON MIKKALSON DDS
COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
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Mailing Address
Dr. LAYTON MIKKALSON DDS
COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
Copy
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