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1851536874
JOEL SEMMES MICKELWAIT
LOS ANGELES, CA
NPI
1851536874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 57755)
Enumeration Date
2008-12-04
Last Update Date
2008-12-04
Business Address
Dr. JOEL SEMMES MICKELWAIT DDS
311 WINSTON ST
LOS ANGELES, CA 90013-1519
Phone number: 213-839-1960
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Mailing Address
Dr. JOEL SEMMES MICKELWAIT DDS
969 TALCEY TERRACE
RIVERSIDE, CA 92506
Phone number: 951-533-9334
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