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1518029115
THOMAS R MICHAELIS
COSTA MESA, CA
NPI
1518029115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 42745)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Dr. THOMAS R MICHAELIS DDS MD
1801 NEWPORT BOULEVARD SUITE C
COSTA MESA, CA 92627
Phone number: 949-650-1030
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Mailing Address
Dr. THOMAS R MICHAELIS DDS MD
1401 AVOCADO AVENUE SUITE 50G
NEWPORT BEACH, CA 92660
Phone number: 949-760-1661
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