Organization
ANDREY MAZO DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREY MAZO (PRESIDENT)
(617) 285-6414
Entity
Organization
Contact information
Practice address
44 FRONT ST, WORCESTER, MA 01608-1733
(508) 753-9200
Mailing address
76 OTIS ST, WESTBOROUGH, MA 01581-3315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18643
MA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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