Individual
DR. MICHELL B. MYERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.C.
Contact information
Practice address
1300 STARFIRE DR, OTTAWA, IL 61350-1624
(815) 433-3413
(815) 433-3476
Mailing address
1300 STARFIRE DR, OTTAWA, IL 61350-1624
(815) 433-3413
(815) 433-3476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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