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1407970882
MIRO ITSKOVICH
SHERMAN OAKS, CA
NPI
1407970882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 54541)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Dr. MIRO ITSKOVICH D.D.S.
5419 NAGLE AVE
SHERMAN OAKS, CA 91401-5341
Phone number: 818-693-6096
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Mailing Address
Dr. MIRO ITSKOVICH D.D.S.
5419 NAGLE AVE
SHERMAN OAKS, CA 91401-5341
Phone number:
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