Individual
DR. THOMAS JOHN MAZZUCHELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
58 SHAWNEE LN, MARIETTA, GA 30067-7316
(770) 973-6520
Mailing address
58 SHAWNEE LN, MARIETTA, GA 30067-7316
(770) 973-6520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012065
GA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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