Individual
MICHAEL C SIVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5005 STATE RD, ASHTABULA, OH 44004-6265
(440) 992-3146
(440) 998-6932
Mailing address
5005 STATE RD, ASHTABULA, OH 44004-6265
(440) 992-3146
(440) 998-6932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22904
OH
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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