Mikulencak, Allen Ray

Mikulencak, Allen Ray is an individual health care provider with primary practice located at 4000 W Mercury Blvd , Hampton VA 23666-3700. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mikulencak, Allen Ray can be contacted via phone (757) 826-7372.

Contact Information

Primary practice address
4000 W Mercury Blvd Hampton VA 23666-3700
Fax: (757) 826-1739
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401006695 Virginia

Profile Details

NPI number 1861530537
LBN Legal business name Mikulencak, Allen Ray
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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