Individual
JOHN MAZZOCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(630) 362-2986
Mailing address
522 N DIVISION ST APT 4, ANN ARBOR, MI 48104-1185
(630) 362-2986
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901601580
MI
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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