FRANK MIKKELSEN DDS NPI 1922458488

NPI Information

FRANK MIKKELSEN DDS is a customized equipment durable medical equipment medical supplies in Sonora, CA. FRANK MIKKELSEN DDS NPI is 1922458488. The provider is registered as an organization entity type.

The provider's business location address is:

19060 STANDARD RD STE 4
SONORA, CA
ZIP 95370-560
Phone: (209) 532-4607
Fax: (209) 533-5487

The provider's authorized official is Frank Mikkelsen .
The authorized official title is Owner/dentist and has the following contact phone number (209) 532-4607.

The enumeration date for this NPI number is 6/15/2016 and was last updated on 6/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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