DR. Michael J Misencik, DDS

NPI #1902048754 in Lodi, Ohio

Provider Information

NPI Number: 1902048754
Entity Type: Individual
Name: DR. Michael J Misencik, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 25, 2009
Last Updated: Jun 30, 2023

Practice Location

Address: 109 HARRIS ROAD
City: Lodi
State: Ohio
ZIP Code: 44254
Phone: (330) 302-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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