Individual
DR. JOHN M SKILLICORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
186 WESTWOOD CIR, MORA, MN 55051-1731
(320) 282-8463
(320) 679-2101
Mailing address
547 UNION ST S, MORA, MN 55051-1817
(320) 679-2464
(320) 679-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7519
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635017800
—
MN
Enumeration date
10/18/2005
Last updated
01/08/2009
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