Dr. Marissa Mikolich
Orthodontists
4100 Belden Village Mall
Canton
, Ohio 44718-2502
Dr. Marissa Mikolich
Orthodontists
4100 Belden Village Mall
Canton
, Ohio 44718-2502
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Marissa Mikolich
- 5875 Landerbrook Dr Suite 250
- Mayfield Hts, OH
- Zip : 44124-6511
- Phone :
Second Address
- Dr. Marissa Mikolich
- 4100 Belden Village Mall
- Canton, OH
- Zip : 44718-2502
- Phone : (330) 494-7051
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 30.022031 | OH |
National Provider Identifier
| NPI | 1043489610 |
|---|---|
| Provider Name | Dr. Marissa Mikolich |
| First Address | Mayfield Hts, OH 44124-6511 |
| Second Address | Canton, OH 44718-2502 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2008 |
| Last Update Date | 03/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.