Individual
DR. JOHN MARK MAZZAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2268 EAST MAIN STREET, SNELLVILLE, GA 30078
(770) 972-4436
(770) 985-8810
Mailing address
2645 CLAIRMONT RD NE, ATLANTA, GA 30329-2710
(770) 605-2520
(770) 985-8810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011705
GA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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