Individual
DR. VLASTA MIKSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
20715 MOUTH OF MONOCACY RD, DICKERSON, MD 20842-9528
(760) 803-6900
Mailing address
20715 MOUTH OF MONOCACY RD, DICKERSON, MD 20842
(760) 803-6900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039239
NY
Other
Enumeration date
02/17/2006
Last updated
02/27/2013
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