MICHAEL JOHN BUCZOLICH

SOUTH BEND, IN
NPI1962510362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12009618)
Enumeration Date2006-08-26
Last Update Date2007-07-08
Business Address
Dr. MICHAEL JOHN BUCZOLICH DDS
3533 MCKINLEY AVE
SOUTH BEND, IN 46615-3134
Phone number: 574-289-7155
Mailing Address
Dr. MICHAEL JOHN BUCZOLICH DDS
3533 MCKINLEY AVE
SOUTH BEND, IN 46615-3134
Phone number: 574-289-7155