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Individual

MR. MICHAEL D. ANKERMILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICENSED DENTURIST

Contact information

Practice address
1225 MEADE AVE, PROSSER, WA 99350-1423
(509) 308-1073
(509) 308-1073
Mailing address
1406 WILLOW WAY, BENTON CITY, WA 99320-1400
(509) 308-1073

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN 00000473
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5056965
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
WA
Enumeration date
08/13/2008
Last updated
07/22/2016
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