Individual provider · Type 1 NPI

Marissa Mikolich

Orthodontics and Dentofacial Orthopedics Dentistry · Canton, OH

NPI number 1043489610 Active

Practice location

4100 Belden Village Mall
Canton, OH 44718-2502

Mailing address

5875 Landerbrook Dr, Suite 250
Mayfield Heights, OH 44124-6511

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X30.022031 (OH)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1043489610

Marissa Mikolich's National Provider Identifier is 1043489610, issued on Feb 27, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Canton, OH. The record was last updated on Mar 3, 2008.