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Organization

MICHAEL R. MAZUKELLI, DDS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MAZUKELLI (PRESIDENT)
(847) 823-4045
Entity
Organization

Contact information

Practice address
954 N NORTHWEST HWY, PARK RIDGE, IL 60068-2358
(847) 823-4045
Mailing address
954 N NORTHWEST HWY, PARK RIDGE, IL 60068-2358

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
IL
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
05/08/2007
Last updated
09/11/2025
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