MICHAEL L. PICKETT

LODI, CA
NPI1609865906
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  D21826)
Enumeration Date2005-10-19
Last Update Date2007-07-08
Business Address
DR. MICHAEL L. PICKETT DDS
1101 W TOKAY ST
LODI, CA 95240-3808
Phone number: 209-334-2821
Mailing Address
DR. MICHAEL L. PICKETT DDS
1101 W TOKAY ST
LODI, CA 95240-3808
Phone number: 209-334-2821