DR. Marissa Mikolich

NPI #1043489610 in Canton, Ohio

Provider Information

NPI Number: 1043489610
Entity Type: Individual
Name: DR. Marissa Mikolich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Feb 27, 2008
Last Updated: Mar 3, 2008

Practice Location

Address: 4100 BELDEN VILLAGE MALL
City: Canton
State: Ohio
ZIP Code: 44718-2502
Phone: (330) 494-7051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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