Individual
DR. RICHARD J MAZOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 WEST COURT STREET, BEATRICE, NE 68310
(402) 223-5109
(402) 223-5310
Mailing address
801 WEST COURT STREET, BEATRICE, NE 68310
(402) 223-5109
(402) 223-5310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5838
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47075919300
—
NE
Enumeration date
09/28/2006
Last updated
07/08/2007
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