Individual
DR. CHRISTIAN J MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
821 TWYCKENHAM BLVD, LAFAYETTE, IN 47909-6760
(765) 477-0331
(765) 477-1620
Mailing address
821 TWYCKENHAM BLVD, LAFAYETTE, IN 47909-6760
(765) 477-0331
(765) 477-1620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010269A
IN
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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