Individual
VICKI R MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1209 5TH AVE SE, JAMESTOWN, ND 58401-5601
(701) 252-0251
Mailing address
1209 5TH AVE SE, JAMESTOWN, ND 58401-5601
(701) 252-0251
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1609
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40713
—
ND
01
—
901609
DENTAL SERVICE CORP.
ND
Enumeration date
10/15/2007
Last updated
10/15/2007
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