Individual
DR. THOMAS DAVID MCMICHAEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
215 ST. ANN DR., SUITE 5, MANDEVILLE, LA 70471
(985) 626-8157
(985) 626-1287
Mailing address
315 W. 6TH, COVINGTON, LA 70433
(985) 867-8322
(985) 626-1287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4636
LA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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