Individual
DR. STEPHEN JAMES MIKOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
777 S NEW BALLAS RD, SUITE 202W, CREVE COEUR, MO 63141-8705
(314) 872-3936
Mailing address
127 POINTER LN, SAINT LOUIS, MO 63124-2020
(314) 993-4995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO12723
MO
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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