Martin C. Misiura, DDS Valid NPI
Individual provider · Dentist · Olyphant, PA
- NPI
- 1720150402
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 025729 (PA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Practice location
418 Lackawanna Ave
Olyphant, PA 18447-1524
(570) 489-5611