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Individual

SANDRA ANNE MAZARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6200 28TH ST SE, GRAND RAPIDS, MI 49546-6930
(616) 949-4650
Mailing address
6200 28TH ST SE, GRAND RAPIDS, MI 49546-6930
(616) 949-4650

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018887
MI

Other

Enumeration date
01/19/2007
Last updated
12/14/2023
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