Individual
DR. GREGORY A MICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
502 EAST SIDE BLVD, HASTINGS, NE 68901-5235
(402) 462-6110
Mailing address
1926 HOME STREET, HASTINGS, NE 68901
(402) 462-5698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4487
NE
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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