Individual
RONALD MISHKO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1264 S COMMERCE RD, WALLED LAKE, MI 48390-3008
(248) 431-4700
(248) 738-9026
Mailing address
2211 S TELEGRAPH RD UNIT 7048, BLOOMFIELD, MI 48302-4801
(248) 431-4700
(248) 738-9026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020692
MI
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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