Individual
ABIGAIL ANNE MAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
290 N WAYTE LN STE 2500, FRESNO, CA 93701-2124
(559) 459-6927
Mailing address
18550 FIRLANDS WAY N STE 200, SHORELINE, WA 98133-3984
(206) 546-4161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032038
IL
122300000X
Dentist
Primary
DE61178650
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
06/04/2025
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