Walter M. Mazzella, D.d.s., P.c.

NPI #1881787513 in Woodstock, Maryland

Provider Information

NPI Number
1881787513
Entity Type
Organization
Organization Name
Walter M. Mazzella, D.d.s., P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 2, 2006
Last Updated
Aug 20, 2007

Practice Location

Address
10775 BIRMINGHAM WAY
Address 2
SUITE 1
ZIP Code
21163-1425
Phone
(410) 203-2552

Authorized Official

Name
WALTER MATTHEW MAZZELLA, D.D.S.
Title
PRESIDENT CEO
Phone
(410) 203-2552

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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