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Individual

DR. RENEE THI MIKULEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
999 E BASSE RD STE 116, SAN ANTONIO, TX 78209-1803
(210) 822-8381
Mailing address
18745 SHADOW CANYON DR, HELOTES, TX 78023-2979
(161) 466-8537
(614) 688-5374

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
25204
TX
1223P0221X
Pediatric Dentistry
30022239
OH

Other

Enumeration date
10/02/2006
Last updated
02/18/2021
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