Individual
GLEN B. MISKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1615 32ND ST NE, SUITE 1, CEDAR RAPIDS, IA 52402-4072
(319) 294-2323
(319) 395-6715
Mailing address
1615 32ND ST NE, SUITE 1, CEDAR RAPIDS, IA 52402-4072
(319) 294-2323
(319) 395-6715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6071
IA
Other
Enumeration date
01/09/2009
Last updated
01/10/2013
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