Michael L Iczkovitz, D.D.S.
NPI #1235159930 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1235159930
- Entity Type
- Individual
- Name
- Michael L Iczkovitz, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- D.D.S.
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Mar 26, 2009
Practice Location
- Address
- 3303 TRIER RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46815-4768
- Phone
- (260) 484-9990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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