Individual
DR. TODD V MIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10515 20TH ST SE STE 201, EVERETT, WA 98205-2035
(425) 334-9600
(425) 334-9900
Mailing address
405 N DAVIES RD, LAKE STEVENS, WA 98258-9450
(425) 397-8672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7981
WA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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