Organization
JOSEPH MIKULICZ DENTAL SERVICES P.C.
Active
Other names
Anasazi Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ROBERT MIKULICZ D.M.D. (OWNER)
(480) 821-8295
Entity
Organization
Contact information
Practice address
312 N ALMA SCHOOL RD, SUITE 22, CHANDLER, AZ 85224-4354
(480) 821-8295
(480) 821-8268
Mailing address
312 N ALMA SCHOOL RD, SUITE 22, CHANDLER, AZ 85224-4354
(480) 821-8295
(480) 821-8268
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4519
AZ
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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