Dr. David Timothy Mazur, D.M.D.
Dentist, General Practice in Tallahassee, FL. Individual provider (NPI-1).
NPI number1477579282
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477579282
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Timothy Mazur
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS 020464-L | PA | Yes |
Practice location
1607 Saint James CtTallahassee, FL 32308-5352
Phone 850-878-0191
Mailing address
1607 Saint James CtTallahassee, FL 32308-5352
Phone 850-878-0191
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