Individual
DR. MARISSA MIKOLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 BELDEN VILLAGE MALL, CANTON, OH 44718-2502
(330) 494-7051
Mailing address
5875 LANDERBROOK DR, SUITE 250, MAYFIELD HTS, OH 44124-6511
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.022031
OH
Other
Enumeration date
02/27/2008
Last updated
03/03/2008
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