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Frank Mikkelsen Dds
Customized Equipment (DME) in Sonora, California
NPI 1922458488

Frank Mikkelsen Dds is a Customized Equipment (DME) based in Sonora, CA and is specialized in Customized Equipment. Frank Mikkelsen Dds practices in Sonora, CA. The NPI Number for Frank Mikkelsen Dds is 1922458488 and holds a License No. 30435 (California).

The current practice location address for Frank Mikkelsen Dds is 19060 Standard Rd Ste 4, Sonora, CA and can be reached out via phone at 209-532-4607 and via fax at 209-533-5487.

Location: 19060 Standard Rd Ste 4, Sonora, CA, 95370-7560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922458488
Provider Name
Frank Mikkelsen Dds
Credential
Provider Entity Type
Organization
Address
19060 Standard Rd Ste 4, Sonora, CA, 95370-7560
Phone Number
209-532-4607
Fax Number
209-533-5487
Provider Enumeration Date
06/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19060 Standard Rd Ste 4
City
Sonora
State
California
Zip
95370-7560
Phone Number
209-532-4607
Fax Number
209-533-5487
person
Provider Business Mailing Address Details
Address
19060 Standard Rd Ste 4
City
Sonora
State
California
Zip
95370-7560
Phone Number
209-532-4607
Fax Number
209-533-5487
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
30435 (California)
Definition
Definition to come...
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