JOHN SAMUEL NIZIC

GRESHAM, OR
NPI1215046834
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  4650)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
Dr. JOHN SAMUEL NIZIC DMD
60 NW 2ND ST
GRESHAM, OR 97030-7222
Phone number: 503-665-3116
Mailing Address
Dr. JOHN SAMUEL NIZIC DMD
60 NW 2ND ST
GRESHAM, OR 97030-7222
Phone number: 503-665-3116
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