Individual
MICKEY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
670 COUNTY ROAD 83, CANBY, CA 96015
(530) 233-4641
(530) 708-8940
Mailing address
670 COUNTY ROAD 83, CANBY, CA 96015
(530) 233-4641
(530) 708-8940
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
15034
CA
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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