Individual
MRS. MYCHEL TONI DOLEZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
202 N DOUGLAS AVE, ELLSWORTH, KS 67439-3216
(785) 472-3803
(785) 472-3620
Mailing address
315 E 3RD ST, ELLSWORTH, KS 67439-3505
(785) 531-0427
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10973
KS
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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