Individual
DR. ADRIJANA MIKSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
6813 MYRTLE AVE, GLENDALE, NY 11385-7267
(718) 366-8608
(718) 366-8689
Mailing address
6813 MYRTLE AVE, GLENDALE, NY 11385-7267
(718) 366-8608
(718) 366-8689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048043-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951904
—
NY
Enumeration date
12/13/2006
Last updated
07/08/2007
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