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Organization

JOSEPH A MIKA DDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH A MIKA DDS (OWNER)
(800) 778-1242
Entity
Organization

Contact information

Practice address
5815 MARKET ST STE 6, BOARDMAN, OH 44512-2915
(800) 778-1242
Mailing address
5815 MARKET ST #6, BOARDMAN, OH 44512
(800) 778-1242

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
OH

Other

Enumeration date
12/28/2010
Last updated
12/28/2010
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