MEDICARE: DR. CHRISTINE MIKHAIL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30-02-1839	OH

General Provider Information

NPI Number	:	1881745818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE MIKHAIL DDS

Provider Business Mailing Address
First Line	:	8215 PINELEIGH CT
Second Line	:
City	:	MASON
State	:	OH
Zip	:	45040-9810
Country	:	US
Telephone Number	:	513-234-9539
Fax Number	:

Provider Business Practice Location Address
First Line	:	7798 UNIVERSITY CT
Second Line	:	SUITE D
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-7745
Country	:	US
Telephone Number	:	513-759-4485
Fax Number	:	513-759-4468

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

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