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Individual

DR. THOMAS STANLEY MICHALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
9094 E. MINERAL AVE., SUITE 260, CENTENNIAL, CO 80112
(303) 768-8570
(303) 768-8572
Mailing address
9094 E. MINERAL AVE., SUITE 260, CENTENNIAL, CO 80112
(303) 768-8570
(303) 768-8572

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
39107
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07436238
CO
Enumeration date
11/20/2006
Last updated
03/21/2011
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