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Individual

WALTER JOHN MAZZELLA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
4400 JENIFER ST NW, #335, WASHINGTON, DC 20015
(202) 966-3132
(202) 966-0470
Mailing address
4400 JENIFER ST NW, #335, WASHINGTON, DC 20015
(202) 966-3132
(202) 966-0470

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN2174
DC

Other

Enumeration date
01/09/2006
Last updated
07/08/2007
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