Itskovich, Miro
Itskovich, Miro is an sole proprietor health care provider with primary practice located at 5419 Nagle Ave , Sherman Oaks CA 91401-5341. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Itskovich, Miro can be contacted via phone (818) 693-6096.Contact Information
Primary practice address
5419 Nagle Ave
Sherman Oaks CA 91401-5341
Phone: (818) 693-6096
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 54541 | California |
Profile Details
| NPI number | 1407970882 |
|---|---|
| LBN Legal business name | Itskovich, Miro |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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