Individual
MISS MICHELINE J MEHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH 17521
Contact information
Practice address
1370 CHORRO ST, SAN LUIS OBISPO, CA 93401
(805) 543-6535
(805) 543-6879
Mailing address
1170 REFUGIO ST, GROVER BEACH, CA 93433
(805) 489-4672
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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