Individual
DR. JOHN JAMES MAZZUOCCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
ORAL AND MAXILLOFACIAL SURGERY, 1395 CENTER DRIVE, D7-6, BOX 100416, GAINESVILLE, FL 32610-0416
(352) 273-6750
(352) 392-7609
Mailing address
ORAL AND MAXILLOFACIAL SURGERY, 1395 CENTER DRIVE, D7-6, BOX 100416, GAINESVILLE, FL 32610-0416
(352) 273-6750
(352) 392-7609
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN19744
FL
Other
Enumeration date
06/21/2012
Last updated
02/12/2013
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