Organization
MAZE FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MAZE DDS (PRESIDENT)
(765) 362-5220
Entity
Organization
Contact information
Practice address
601 MILL ST, CRAWFORDSVLLE, IN 47933-3440
(765) 362-5220
(765) 362-6393
Mailing address
601 MILL ST, CRAWFORDSVLLE, IN 47933-3440
(765) 362-5220
(765) 362-6393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009364
IN
Other
Enumeration date
09/21/2014
Last updated
09/21/2014
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