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Organization

ANNA MARIE MAZOCH, DDS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNA MARIE MAZOCH DDS (PRESIDENT/DENTIST)
(302) 998-9594
Entity
Organization

Contact information

Practice address
2601 ANNAND DR, SUITE 18, WILMINGTON, DE 19808
(302) 998-9594
(302) 998-8207
Mailing address
2601 ANNAND DRIVE, SUITE 18, WILMINGTON, DE 19808-3719
(302) 998-9594
(302) 998-8207

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-001096
DE

Other

Enumeration date
12/19/2011
Last updated
12/19/2011
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