Individual
VERONICA MITKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ELM SQ STE 1D, ANDOVER, MA 01810-3667
(978) 296-4964
Mailing address
1 ELM SQ STE 1D, ANDOVER, MA 01810-3667
(978) 296-4964
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1856834
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/27/2013
Last updated
03/17/2018
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