# PERIZA ZANINOVIC DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003565086
- **Authorized official:** PERIZA ZANINOVIC DDS (DENTIST/OWNER)
- **Authorized official phone:** (269) 683-6461

## Contact information

- **Practice address:** 123 MARMONT ST, NILES, MI 49120-1657
- **Practice address phone:** (269) 683-6461
- **Mailing address:** 123 MARMONT ST, NILES, MI 49120-1657
- **Mailing address phone:** (269) 683-6461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2022
- **Last updated:** 03/30/2022