Andrey Mazo Dmd PC
NPI #1316385214 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1316385214
- Entity Type
- Organization
- Organization Name
- Andrey Mazo Dmd PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 13, 2013
- Last Updated
- Jun 13, 2013
Practice Location
- Address
- 44 FRONT ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01608-1733
- Phone
- (508) 753-9200
Authorized Official
- Name
- ANDREY MAZO
- Title
- PRESIDENT
- Phone
- (617) 285-6414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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