Bruce Miklas

NPI #1588671846 in Roosevelt, New York

Provider Information

NPI Number: 1588671846
Entity Type: Individual
Name: Bruce Miklas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Aug 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 380 WASHINGTON AVE
City: Roosevelt
State: New York
ZIP Code: 11575-1845
Phone: (516) 378-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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