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1265921878
MARK ALEXANDER NIZZA
SOUTH BEND, IN
NPI
1265921878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: IN 12013970A)
Enumeration Date
2018-05-09
Last Update Date
2023-08-16
Business Address
MARK ALEXANDER NIZZA DMD
3367 DOUGLAS RD
SOUTH BEND, IN 46635-1779
Phone number: 574-272-8823
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Mailing Address
MARK ALEXANDER NIZZA DMD
3367 DOUGLAS RD
SOUTH BEND, IN 46635-1779
Phone number: 574-272-8823
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