Individual
DR. JOHN F. MICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
306 W MAIN ST, ST CHARLES, IL 60174-1814
(630) 584-6177
(630) 584-8504
Mailing address
306 W MAIN ST, ST CHARLES, IL 60174-1814
(630) 584-6177
(630) 584-8504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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