Individual
DR. MICHAEL A. MIKITKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1675 ALHAMBRA BLVD, SUITE F, SACRAMENTO, CA 95816-7047
(916) 455-3247
(916) 455-0439
Mailing address
11892 PROSPECT HILL DR, GOLD RIVER, CA 95670-8259
(916) 852-8284
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22253
CA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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