Individual
DR. LAURENCE J MAZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8080 OLD YORK RD STE 205, ELKINS PARK, PA 19027-1426
(215) 884-7077
Mailing address
8080 OLD YORK RD STE 205, ELKINS PARK, PA 19027-1426
(215) 884-7077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027020L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
697708
UNITED CONCORDIA
PA
Enumeration date
07/10/2006
Last updated
07/08/2007
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