| Miskovich Dental Clinic | |
|
1121 Se 4th Avenue Grand Rapids MN 55744 | |
| (218) 326-3437 | |
| (218) 327-1211 |
| Full Name | Miskovich Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1121 Se 4th Avenue, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Peter J Miskovich (PRESIDENT) |
| Authorized Official Contact | 2183263437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miskovich Dental Clinic 1121 Se 4th Avenue Grand Rapids MN 55744 Ph: (218) 326-3437 | Miskovich Dental Clinic 1121 Se 4th Avenue Grand Rapids MN 55744 Ph: (218) 326-3437 |
| NPI Number | 1255407060 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255407060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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