Individual
DR. ALBERT JOHN MAZIARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4520 LIBERTY RD S, SALEM, OR 97302-5033
(503) 581-9211
Mailing address
4520 LIBERTY RD S, SALEM, OR 97302-5033
(503) 581-9211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4957
OR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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