EDWARD JOHN MICKA

ALBANY, NY
NPI1619064011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  033195)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
Dr. EDWARD JOHN MICKA D.M.D.
113 HOLLAND AVE
ALBANY, NY 12208-3410
Phone number: 518-626-6570
Mailing Address
Dr. EDWARD JOHN MICKA D.M.D.
26 MORNINGSIDE DR
LATHAM, NY 12110-1302
Phone number: 518-786-0940
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