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Individual

DR. JENNIFER BURKE MAZZARELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
17301 NW 27TH AVE, MIAMI GARDENS, FL 33055
(305) 624-1371
Mailing address
951 BRICKELL AVE APT 4111, MIAMI, FL 33131-3944
(305) 793-7177

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 18410
FL

Other

Enumeration date
11/04/2011
Last updated
11/04/2011
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