Individual
DR. JOHN L MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
193 BLUE POINT AVENUE, BLUE POINT, NY 11715-1222
(631) 363-7040
(631) 363-7046
Mailing address
193 BLUE POINT AVENUE, BLUE POINT, NY 11715-1222
(631) 363-7040
(631) 363-7046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040103
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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