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DANIEL MICHAEL MAZZOCCO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
305 SOUTH CHURCH STREET, SOUTH GATE OFFICE COMPLEX SUITE 190, HAZELTON, PA 18201-7605
(570) 459-2526
(570) 455-8369
Mailing address
305 SOUTH CHURCH STREET, SOUTH GATE OFFICE COMPLEX SUITE 190, HAZELTON, PA 18201-7605
(570) 459-2526
(570) 455-8369

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS018626L
PA

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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