Individual
DR. JULIA K. MIKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3261 HARRISON RD, COLUMBIA, SC 29204-2657
(803) 738-1114
(803) 738-1266
Mailing address
3261 HARRISON RD, COLUMBIA, SC 29204-2657
(803) 738-1114
(803) 738-1266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3270
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
842520
UNITED CONCORDIA
—
05
—
Z32704
—
SC
Enumeration date
04/04/2006
Last updated
07/08/2007
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