Organization
DR. JOSEPH M. MAZUREK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA L MAZUREK (OFFICE MANAGER)
(501) 568-4733
Entity
Organization
Contact information
Practice address
6500 BASELINE RD, LITTLE ROCK, AR 72209-4732
(501) 568-4733
(501) 568-4700
Mailing address
6500 BASELINE RD, LITTLE ROCK, AR 72209-4732
(501) 568-4733
(501) 568-4700
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112152608
—
AR
Enumeration date
06/19/2020
Last updated
06/19/2020
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