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1003072141
MIRO ITSKOVICH, DDS INC.
POMONA, CA
NPI
1003072141
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Entity Type
Organization
Authorized Contact
MIRO ITSKOVICH
President
909-927-4177
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2008-07-29
Last Update Date
2008-07-29
Business Address
MIRO ITSKOVICH, DDS INC.
847 PHILADELPHIA ST.
POMONA, CA 91766-5714
Phone number: 909-927-4177
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Mailing Address
MIRO ITSKOVICH, DDS INC.
847 PHILADELPHIA ST.
POMONA, CA 91766-5714
Phone number:
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