Individual
MISS TAMMY KAYE MISKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, CDHC, ED
Contact information
Practice address
3614 MINNESOTA AVE, DULUTH, MN 55802-2541
(218) 969-9886
Mailing address
PO BOX 851, DULUTH, MN 55801-0851
(218) 969-9886
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5343
MN
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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