Individual
JOSEPH ROBERT MIKULICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
312 N ALMA SCHOOL RD, STE 22, CHANDLER, AZ 85224
(480) 821-8295
(480) 821-8268
Mailing address
312 N ALMA SCHOOL RD, STE 22, CHANDLER, AZ 85224
(480) 821-8295
(480) 821-8268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4519
AZ
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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