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Organization

JOHN E. MAZZA DDS, INC.

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Organization

JOHN E. MAZZA DDS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN E MAZZA DDS (PRESIDENT)
(415) 641-5200
Entity
Organization

Contact information

Practice address
2480 MISSION ST, SUITE #220, SAN FRANCISCO, CA 94110-2468
(415) 641-5200
(415) 641-7004
Mailing address
2480 MISSION ST, SUITE #220, SAN FRANCISCO, CA 94110-2468
(415) 641-5200
(415) 641-7004

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
28758
CA

Other

Enumeration date
08/23/2006
Last updated
04/18/2010
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