Individual
DR. ANDREY MAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
76 OTIS ST, WESTBOROUGH, MA 01581-3315
(508) 870-1911
(508) 870-0639
Mailing address
76 OTIS ST, WESTBOROUGH, MA 01581-3315
(508) 870-1911
(508) 870-0639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18643
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277975
—
MA
Enumeration date
03/22/2007
Last updated
07/09/2007
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