# TOM K. MICHAEL D.D.S., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801340476
- **Authorized official:** DR. TOM K MICHAEL (DENTIST/OWNER)
- **Authorized official phone:** (509) 884-6901

## Contact information

- **Practice address:** 703 VALLEY MALL PKWY, EAST WENATCHEE, WA 98802-4839
- **Practice address phone:** (509) 884-6901
- **Practice address fax:** (509) 886-5054
- **Mailing address:** 703 VALLEY MALL PKWY, EAST WENATCHEE, WA 98802-4839
- **Mailing address phone:** (509) 884-6901
- **Mailing address fax:** (509) 886-5054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2016
- **Last updated:** 08/11/2016