Individual
DANIEL SANTO MAZZARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-3146
(305) 575-3373
Mailing address
2050 NW 76TH TER, PEMBROKE PINES, FL 33024-0928
(954) 893-6109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14338
FL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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