| Joseph D Mazzola Dds | |
|
13606 Xavier Ln Ste G Broomfield CO 80023-3604 | |
| (303) 466-9533 | |
| (303) 466-2786 |
| Full Name | Joseph D Mazzola Dds |
|---|---|
| Speciality | Dentist |
| Location | 13606 Xavier Ln Ste G, Broomfield, Colorado |
| Authorized Official Name and Position | Joseph D Mazzola (DENTIST/OWNER) |
| Authorized Official Contact | 3034669533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph D Mazzola Dds 13606 Xavier Ln Ste G Broomfield CO 80023-3604 Ph: (303) 466-9533 | Joseph D Mazzola Dds 13606 Xavier Ln Ste G Broomfield CO 80023-3604 Ph: (303) 466-9533 |
| NPI Number | 1235508078 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235508078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 105437 (Colorado) | Primary |
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