Individual
DR. RONALD WARREN MIKALOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE VAMC, FAYETTEVILLE, NC 28301-3856
(910) 822-7029
Mailing address
2300 RAMSEY ST, FAYETTEVILLE VAMC, FAYETTEVILLE, NC 28301-3856
(910) 822-7029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09454
NC
1223G0001X
General Practice Dentistry
12007700A
IN
Other
Enumeration date
12/22/2005
Last updated
11/27/2016
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