Miro Itskovich, DDS Inc.
NPI #1003072141 in Pomona, California
Provider Information
- NPI Number
- 1003072141
- Entity Type
- Organization
- Organization Name
- Miro Itskovich, DDS Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 29, 2008
- Last Updated
- Jul 29, 2008
Practice Location
- Address
- 847 PHILADELPHIA ST.
- City
- Pomona
- State
- California
- ZIP Code
- 91766-5714
- Phone
- (909) 927-4177
Authorized Official
- Name
- MIRO ITSKOVICH
- Title
- PRESIDENT
- Phone
- (909) 927-4177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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