Joseph D Mazzola DDS

NPI #1235508078 in Broomfield, Colorado

Provider Information

NPI Number: 1235508078
Entity Type: Organization
Organization Name: Joseph D Mazzola DDS
Primary Specialty: Dentist
Enumeration Date: Sep 23, 2015
Last Updated: Sep 23, 2015

Practice Location

Address: 13606 XAVIER LN STE G
City: Broomfield
State: Colorado
ZIP Code: 80023-3604
Phone: (303) 466-9533

Authorized Official

Name: DR. JOSEPH D MAZZOLA, DDS MAGD
Title: DENTIST/OWNER
Phone: (303) 466-9533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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