DR. Mark George Misencik, D.D.S.

NPI #1629116793 in Amherst, Ohio

Provider Information

NPI Number: 1629116793
Entity Type: Individual
Name: DR. Mark George Misencik, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Feb 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 572 N LEAVITT RD
City: Amherst
State: Ohio
ZIP Code: 44001-1131
Phone: (440) 988-4166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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