NPI 1003072141
Miro Itskovich, DDS INC.
Practice location
- Address
- 847 Philadelphia St., Pomona, CA 91766-5714
- Phone
- (909) 927-4177
Authorised official
- Name
- Miro Itskovich
- Title
- President
- Phone
- (909) 927-4177
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003072141
- Entity type
- Organization
- NPI issued
- 29 Jul 2008
- Record last updated
- 29 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.