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1730233917
MICHAEL ROBERT MITSOS
MUNSTER, IN
NPI
1730233917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 13005015A)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL ROBERT MITSOS D.D.S.
310 RIDGE RD
MUNSTER, IN 46321-1528
Phone number: 219-836-8200
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Mailing Address
Dr. MICHAEL ROBERT MITSOS D.D.S.
8148 VALLEY VIEW CT
TINLEY PARK, IL 60477-4519
Phone number: 312-953-2352
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