Individual
DR. JOSEPH D. MAZZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13606 XAVIER LN STE G, BROOMFIELD, CO 80020-3604
(303) 466-9533
(909) 466-2786
Mailing address
13606 XAVIER LN STE G, BROOMFIELD, CO 80020-3604
(303) 466-9533
(909) 466-2786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105437
CO
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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