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Individual

ANTHONY RICHARD MICHAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2400 RICHMOND RD, TEXARKANA, TX 75503-2466
(870) 330-9180
Mailing address
101 REDWATER RD APT 177, WAKE VILLAGE, TX 75501-5744

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
27461
TX
1223G0001X
General Practice Dentistry
Primary
4230
AR
1223G0001X
General Practice Dentistry
6923
LA

Other

Enumeration date
09/26/2011
Last updated
09/22/2018
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