Individual
AYLIN MAZZUOCCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1584 KINGSLEY AVE, SUITE B, ORANGE PARK, FL 32073-4515
(904) 264-5437
Mailing address
4957 NW 1ST PL, GAINESVILLE, FL 32607-2190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19719
FL
Other
Enumeration date
07/03/2012
Last updated
06/03/2015
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