Individual
DR. JOSEPH WILLIAM MIKOLAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7258 CASTOR AVE, PHILADELPHIA, PA 19149-1109
(215) 728-1144
Mailing address
2252 FAUNCE ST, PHILADELPHIA, PA 19152-4020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO35392
PA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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