| Name | MARISSA L. MIKOLICH, D.M.D., M.S. |
|---|---|
| Street | 2245 RIVERSIDE DRIVE APT. 204 |
| City | COLUMBUS |
| Zip | OH 43221 |
| Status | Active |
| Effective date | 2008-10-01T00:00:00+02:00 |
| Company | MIKOLICH ORTHODONTICS-MARISSA L. MIKOLICH, D.M.D., M.S., L.L.C. |
|---|---|
| Entity Number | 1809869 |