Individual
DR. KRISSA ANNE MICKELWAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
220 UNITY ST, BELLINGHAM, WA 98225-4429
(360) 676-6177
Mailing address
14206 COVE CT, ANACORTES, WA 98232-8589
(360) 708-7664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60363231
WA
Other
Enumeration date
05/07/2013
Last updated
10/08/2015
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