Organization
MARK A. MIKUS, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MIKUS (OFFICE MANAGER)
(724) 772-3209
Entity
Organization
Contact information
Practice address
9400 MCKNIGHT RD STE 101, PITTSBURGH, PA 15237-6007
(412) 369-7122
(412) 369-7433
Mailing address
505 CREEKSIDE CT, CRANBERRY TOWNSHIP, PA 16066-3371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS031540L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018411370005
—
PA
Enumeration date
03/31/2008
Last updated
05/16/2008
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