Daniel Michael Mazzocco JR., DMD

NPI #1609961861 in Hazelton, Pennsylvania

Provider Information

NPI Number: 1609961861
Entity Type: Individual
Name: Daniel Michael Mazzocco JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 305 SOUTH CHURCH STREET
Address 2: SOUTH GATE OFFICE COMPLEX SUITE 190
City: Hazelton
State: Pennsylvania
ZIP Code: 18201-7605
Phone: (570) 459-2526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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