Organization
RONALD A. MIKKELSON DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A MIKKELSOON DDS (PRESIDENT)
(360) 754-4949
Entity
Organization
Contact information
Practice address
140 PERCIVAL ST NW STE B, OLYMPIA, WA 98502-5438
(360) 754-4949
(360) 754-4948
Mailing address
140 PERCIVAL ST NW STE B, OLYMPIA, WA 98502-5438
(360) 754-4949
(360) 754-4948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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