Individual
DR. RICHARD MICHAEL DZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
605 W DOUGLAS RD, MISHAWAKA, IN 46545-1438
(574) 277-2220
(574) 277-8108
Mailing address
2537 LAKE SHORE DR, LONG BEACH, IN 46360-1643
(219) 872-1697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009517A
IN
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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