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1861530537
ALLEN RAY MIKULENCAK
HAMPTON, VA
NPI
1861530537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401006695)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Dr. ALLEN RAY MIKULENCAK DDS
4000 W MERCURY BLVD
HAMPTON, VA 23666-3700
Phone number: 757-826-7372
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Mailing Address
Dr. ALLEN RAY MIKULENCAK DDS
614 MAURY AVE
NORFOLK, VA 23517-1820
Phone number: 757-627-0092
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