Individual
JOHN MICHAIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 W. CHARLESTON BLVD, BLDG D, LAS VEGAS, NV 89102
(702) 774-5134
Mailing address
10262 HAMPTONS BLVD. NW, CALGARY, ALBERTA T3A5G-5
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LL-596-23
NV
Other
Enumeration date
03/10/2023
Last updated
10/12/2023
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