Scott Andrew Mazanec DDS

NPI 1063415917 - Dentist - 1223G0001X

NPI Details
NPI 1063415917
Gender Male
Enumeration Date 05/24/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
709 HOSPITAL LOOP STE 118
FAIRCHILD AFB WA, 99011-8705, US
Phone (509) 465-0995
Fax (509) 247-4140
Business Location
709 HOSPITAL LOOP STE 118
FAIRCHILD AFB WA, 99011-8705, US
Phone (509) 465-0995
Fax (509) 247-4140
Toxanomy
Taxonomy Code 1223G0001X
License State Ohio
License Number 30-01-8081
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According to our database, Dr. Scott Andrew Mazanec DDS NPI is 1063415917, taxonomy code is 1223G0001X and license number is 30-01-8081, license state is located at Ohio. Scott Andrew Mazanec DDS physically located at 709 Hospital Loop Ste 118, Fairchild Afb WA, 99011-8705. NPI Number Scott Andrew Mazanec DDS has the Individual type.

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1063415917 NPI number is provided on an as is basis without warranty of any kind. 1063415917 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Andrew Mazanec DDS are for informational purposes only.