Gregg C Mazonas DDS PC
NPI #1518054428 in Shelbyville, Indiana
Provider Information
- NPI Number
- 1518054428
- Entity Type
- Organization
- Organization Name
- Gregg C Mazonas DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Aug 6, 2008
Practice Location
- Address
- 1818 N RILEY HWY
- City
- Shelbyville
- State
- Indiana
- ZIP Code
- 46176-0070
- Phone
- (317) 392-3231
Authorized Official
- Name
- GREGG C MAZONAS, DDS
- Title
- PRESIDENT
- Phone
- (317) 392-3231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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