Individual
MR. ANTHONY NICHOLAS MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20180 GOVERNORS HWY, STE 104, OLYMPIA FIELDS, IL 60461
(708) 747-9777
(708) 747-1064
Mailing address
20180 GOVERNORS HWY, STE 104, OLYMPIA FIELDS, IL 60461
(708) 747-9777
(708) 747-1064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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