Individual
MR. CHRISTOPHER DANIEL MAZZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1930 S NEVADA AVE, COLORADO SPRINGS, CO 80905-3407
(719) 576-5566
(719) 576-1100
Mailing address
1930 S. NEVADA AVE, COLORADO SPRINGS, CO 80905-3407
(719) 576-5566
(719) 576-1100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN9966
CO
1223G0001X
General Practice Dentistry
DEN-9966
CO
Other
Enumeration date
06/13/2009
Last updated
08/13/2010
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