DR. Thomas John Mazzuchelli, D.M.D.

NPI #1003088592 in Marietta, Georgia

Provider Information

NPI Number: 1003088592
Entity Type: Individual
Name: DR. Thomas John Mazzuchelli, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 58 SHAWNEE LN
City: Marietta
State: Georgia
ZIP Code: 30067-7316
Phone: (770) 973-6520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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