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1568795649
MICKELWAIT FAMILY DENTISTRY PLLC
MOUNT VERNON, WA
NPI
1568795649
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Entity Type
Organization
Authorized Contact
JOEL S MICKELWAIT
Member
360-424-3450
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60070169)
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
MICKELWAIT FAMILY DENTISTRY PLLC
1420 ROOSEVELT AVE STE 7
MOUNT VERNON, WA 98273-2687
Phone number: 360-424-3450
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Mailing Address
MICKELWAIT FAMILY DENTISTRY PLLC
1420 ROOSEVELT AVE STE 7
MOUNT VERNON, WA 98273-2687
Phone number: 360-424-3450
Copy
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