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1922015221
JOSEPH R MIKULICZ
METLAKATLA, AK
NPI
1922015221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ 4519)
Enumeration Date
2006-08-01
Last Update Date
2026-05-19
Business Address
Mr. JOSEPH R MIKULICZ DMD
563 BRENDIBLE ST
METLAKATLA, AK 99926
Phone number: 480-821-8295
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Mailing Address
Mr. JOSEPH R MIKULICZ DMD
921 S VAL VISTA DR UNIT 109
MESA, AZ 85204
Phone number: 602-501-8796
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