Individual
DR. MIKHAIL I MUKHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1415 EASTERN AVE, PLYMOUTH, WI 53073
(414) 430-7286
Mailing address
1415 EASTERN AVE, PLYMOUTH, WI 53073-2018
(209) 893-8458
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6383-15
WI
Other
Enumeration date
10/27/2009
Last updated
05/17/2018
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