DR. Walter Matthew Mazzella, DDS

NPI #1487990099 in Woodstock, Maryland

Provider Information

NPI Number: 1487990099
Entity Type: Individual
Name: DR. Walter Matthew Mazzella, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 31, 2012
Last Updated: Dec 31, 2012

Practice Location

Address: 10775 BIRMINGHAM WAY
Address 2: SUITE 1
City: Woodstock
State: Maryland
ZIP Code: 21163-1425
Phone: (410) 203-2552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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