MARK ALEXANDER NIZZA

SOUTH BEND, IN
NPI1265921878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: IN  12013970A)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OH  30.025947)
Enumeration Date2018-05-09
Last Update Date2024-08-21
Business Address
MARK ALEXANDER NIZZA DMD, MD
3367 DOUGLAS RD
SOUTH BEND, IN 46635-1779
Phone number: 574-272-8823
Mailing Address
MARK ALEXANDER NIZZA DMD, MD
3367 DOUGLAS RD
SOUTH BEND, IN 46635-1779
Phone number: 574-272-8823
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