Individual
MIKHAIL TSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8310
Mailing address
100 E 7TH ST APT 3A, NEW YORK, NY 10009-6140
(917) 655-8469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060414
NY
Other
Enumeration date
04/14/2018
Last updated
12/29/2019
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