Individual
RONALD EUGENE MIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 WEST MAIN CROSS, TAYLORVILLE, IL 62568
(217) 824-8232
(217) 824-8521
Mailing address
400 WEST MAIN CROSS, BOX 208, TAYLORVILLE, IL 62568
(217) 824-8232
(217) 824-8521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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