Individual
DR. MARK J. KIZIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
3106 WILLOW AVE, SUITE 105, CLOVIS, CA 93612-4749
(559) 292-7342
(559) 292-8989
Mailing address
3106 WILLOW AVE, SUITE 105, CLOVIS, CA 93612-4749
(559) 292-7342
(559) 292-8989
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
039028
CA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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