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Organization
VINCENT M. MAZUREK, DDS, PC
Active
Organization
VINCENT M. MAZUREK, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT M. MAZUREK DDS (PRESIDENT)
(631) 543-0550
Entity
Organization
Contact information
Practice address
823 W JERICHO TPKE, SUITE 1B, SMITHTOWN, NY 11787-3216
(631) 543-0550
Mailing address
823 W JERICHO TPKE, SUITE 1B, SMITHTOWN, NY 11787-3216
(631) 543-0550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035995-1
NY
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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