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Individual

MR. JOSEPH R MIKULICZ II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
563 BRENDIBLE ST, METLAKATLA, AK 99926
(480) 821-8295
(480) 821-8268
Mailing address
921 S VAL VISTA DR UNIT 109, MESA, AZ 85204
(602) 501-8796
(480) 821-8268

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4519
AZ

Other

Enumeration date
08/01/2006
Last updated
05/19/2026
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