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JAMES MUSHOVIC DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1750556866

Individual Registrant:
 JAMES  MUSHOVIC DMD
Gender: M
Sole Proprietor

Location and contact information for practice:
159 RIVERSIDE AVE BOX 1010 UNALASKA, AK 99685 US
Tel: 907-581-3122  Fax: --

Contact information for business:
PO BOX 1010  UNALASKA, AK 99685-1010 US
Tel: 907-581-3122  Fax: --

Registration Information:
NPI: 1750556866
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AKAA512
N122300000XDental Providers
Dentist
CA47964

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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