Individual
DR. JOHN JOSEPH MIKOTOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2605 STATE HIGHWAY 35, MANASQUAN, NJ 08736
(732) 223-6000
(732) 223-6129
Mailing address
52 WOODTHRUSH TRL W, MEDFORD, NJ 08055-9128
(609) 953-3768
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02275601
NJ
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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