Individual
GREGG CHARLES MAZONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1818 N RILEY HWY, SHELBYVILLE, IN 46176-0070
(317) 392-3231
(317) 392-3233
Mailing address
PO BOX 70, 1818 N RILEY HWY, SHELBYVILLE, IN 46176-0070
(317) 392-3231
(317) 392-3233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008860A
IN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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