Dr. Miro Itskovich, D.D.S.
Dentist in Sherman Oaks, CA. Individual provider (NPI-1).
NPI number1407970882
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407970882
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miro Itskovich
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 54541 | CA | Yes |
Practice location
5419 Nagle AveSherman Oaks, CA 91401-5341
Phone 818-693-6096
Mailing address
5419 Nagle AveSherman Oaks, CA 91401-5341
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All 53 Dentist providers in Sherman Oaks · All 3,777 providers in Sherman Oaks
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