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Individual

DR. JOHN WILLIAM KIZIOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.S.D.

Contact information

Practice address
2005 ST CHARLES ST, SUITE 3, JASPER, IN 47546-9146
(812) 634-2040
(812) 482-7405
Mailing address
2005 ST CHARLES ST, SUITE 3, JASPER, IN 47546-9146
(812) 634-2040
(812) 482-7405

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12010318A
IN

Other

Enumeration date
04/25/2007
Last updated
04/19/2023
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