Marissa Mikolich

NPI 1043489610 - Dentist - 1223X0400X

NPI Details
NPI 1043489610
Gender Female
Enumeration Date 02/27/2008
Last Updated 03/03/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4100 BELDEN VILLAGE MALL
CANTON OH, 44718-2502, US
Phone (330) 494-7051
Fax
Business Location
5875 LANDERBROOK DR
SUITE 250
MAYFIELD HTS OH, 44124-6511, US
Phone
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Ohio
License Number 30.022031
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According to our database, Dr. Marissa Mikolich NPI is 1043489610, taxonomy code is 1223X0400X and license number is 30.022031, license state is located at Ohio. Marissa Mikolich physically located at 4100 Belden Village Mall, Canton OH, 44718-2502. NPI Number Marissa Mikolich has the Individual type.

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1043489610 NPI number is provided on an as is basis without warranty of any kind. 1043489610 is maintained by the National Plan & Provider Enumeration System. The contents of Marissa Mikolich are for informational purposes only.