Organization
NIZICH FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY FRANCIS NIZICH DMD (OWNER/DENTIST)
(907) 789-7001
Entity
Organization
Contact information
Practice address
2219 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-7001
(907) 789-7008
Mailing address
2219 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-7001
(907) 789-7008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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