Individual
DR. LAYTON MIKKALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15535 34TH AVE N STE 200, PLYMOUTH, MN 55447-2170
(763) 233-3359
Mailing address
15535 34TH AVE N STE 200, PLYMOUTH, MN 55447-2170
(763) 233-3359
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12298
NC
122300000X
Dentist
D14449
MN
1223E0200X
Endodontics
Primary
D14449
MN
Other
Enumeration date
08/07/2020
Last updated
07/07/2026
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