Individual
MICAH NATHANAEL BICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
800 OLD NACHES HWY, YAKIMA, WA 98908-9036
(206) 225-4536
Mailing address
800 OLD NACHES HWY, YAKIMA, WA 98908-9036
(206) 225-4536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60104988
WA
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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