LEO V. MIKESELL

CHINLE, AZ
NPI1992827877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT  133643-9923)
Enumeration Date2007-04-04
Last Update Date2007-07-09
Business Address
Dr. LEO V. MIKESELL D.D.S
HWY 191 HOSPITAL ROAD
CHINLE, AZ 86503
Phone number: 928-674-7001
Mailing Address
Dr. LEO V. MIKESELL D.D.S
PO DRAWER PH
CHINLE, AZ 86503
Phone number: 928-674-7001
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