Individual
DR. NICHOLAS MAZZEO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TRIPLER AMC, HI 96859-5001
(808) 433-2460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11359
MD
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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