Individual
JOHN MYSHKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 MYRTLE AVE, PLAINFIELD, NJ 07063-1000
(908) 753-6401
Mailing address
1700 MYRTLE AVE, PLAINFIELD, NJ 07063-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D101739100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5237203
—
NJ
Enumeration date
12/14/2006
Last updated
07/09/2007
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