Individual
IVAN MITRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
DMD
Contact information
Practice address
1850 W MOUNT HOPE AVE, LANSING, MI 48910-2482
(517) 482-8466
Mailing address
1850 W MOUNT HOPE AVE, LANSING, MI 48910-2482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901603024
MI
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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