Individual
KAREN COOK MISLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3701 S MAIN ST STE A150, ELKHART, IN 46517-3140
(574) 830-8125
(505) 820-1212
Mailing address
3701 S MAIN ST STE A150, ELKHART, IN 46517-3140
(574) 830-8125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013556A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD2743
NM LICENSE
NM
Enumeration date
11/01/2007
Last updated
03/16/2021
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