Organization
MISKOVICH DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J MISKOVICH DDS (PRESIDENT)
(218) 326-3437
Entity
Organization
Contact information
Practice address
1121 SE 4TH AVENUE, GRAND RAPIDS, MN 55744
(218) 326-3437
(218) 327-1211
Mailing address
1121 SE 4TH AVENUE, GRAND RAPIDS, MN 55744
(218) 326-3437
(218) 327-1211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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