Individual
DR. CHARLES DAVID MIKUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23101 SHERMAN PL, SUITE 205, WEST HILLS, CA 91307-2034
(818) 348-5100
(818) 348-5101
Mailing address
23101 SHERMAN PL SUITE 205, CHARLES D MIKUSKY DDS, WEST HILLS, CA 91307-2034
(818) 348-5100
(818) 348-5101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31332
CA
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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