Miro Itskovich, DDS Inc.
Organization Active NPI General Practice Dentistry · Pomona, CA
NPI 1003072141 · NPPES record last updated Jul 29, 2008
Key facts
- NPI
- 1003072141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- MIRO ITSKOVICH, DDS INC.
- Practice address
- 847 Philadelphia St.
Pomona, CA 91766-5714 - Phone
- (909) 927-4177
- NPI assigned
- Jul 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Miro Itskovich
- Title
- President
- Phone
- (909) 927-4177
National Provider Directory
Locations
847 Philadelphia St
Pomona, CA 91766
Phone (909) 627-4177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
847 Philadelphia St.
Pomona, CA 91766-5714
Mailing address
847 Philadelphia St.
Pomona, CA 91766-5714
Other providers in Pomona, CA
- Liliana Mireles
- Rudolf Mireles
- Sahar Mirfarsi
- Seyed Arshia Mirjafarifiroozabadi
- Parisa Mirjalili
- Areeba Misbah
- Francis Gabriel Mision
- Alyssa Missakian
- Mission City Community Network, Inc.
- Mission City Community Network, Inc.
All providers in Pomona, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.