Individual
DR. MICHAEL ALLAN MEHLHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 19TH AVE, SUITE 90, MOLINE, IL 61265-3700
(309) 277-6567
Mailing address
106 19TH AVE, SUITE 90, MOLINE, IL 61265-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030059
IL
122300000X
Dentist
DDS-09120
IA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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