| NPI | 1013398783 |
|---|---|
| Other Name | CAMILLA L MISKOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 10603) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 21214) |
| 122300000X Dentist (Licence: KY 9604) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-03-23 |