Individual
DR. MYRON G TOPALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1680 DOUGLAS AVE, RACINE, WI 53404-2722
(262) 633-5600
Mailing address
5319 RICHMOND DR, RACINE, WI 53406-1540
(262) 633-5976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001411-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3354700
—
WI
Enumeration date
09/14/2006
Last updated
07/08/2007
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