Michael J Misencik, DDS Valid NPI
Individual provider · Dentist · Lodi, OH
- NPI
- 1902048754
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 018257 (OH)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-03-25
- Last updated
- 2023-06-30
Practice location
109 Harris Road
Lodi, OH 44254
(330) 302-4005