Joel S. Mickelwait, DDS
General Dentistry · Los Angeles, CA
UnclaimedDDSNPI 1851536874
- Primary taxonomy
- 122300000X
- Enumerated
- 2008-12-04
- Practice location
- Los Angeles, CA
- Last NPPES update
- 2008-12-04
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.