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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