Individual
RONALD NICHOLAS MIZIKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13727 S HURON RIVER DR, ROMULUS, MI 48174-3628
(734) 941-0010
(734) 941-0010
Mailing address
13727 S HURON RIVER DR, ROMULUS, MI 48174-3628
(734) 941-0010
(734) 941-0010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015137
MI
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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