Vincent M. Mazurek, Dds, Pc

NPI 1871877365 - Dentist - 122300000X

NPI Details
NPI 1871877365
Enumeration Date 10/04/2011
Last Updated 10/04/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name VINCENT M. VINCENT
Position PRESIDENT
Phone (631) 543-0550
Fax
Practice Location
823 W JERICHO TPKE
SUITE 1B
SMITHTOWN NY, 11787-3216, US
Phone (631) 543-0550
Fax
Business Location
823 W JERICHO TPKE
SUITE 1B
SMITHTOWN NY, 11787-3216, US
Phone (631) 543-0550
Fax
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 035995-1
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According to our database, Vincent M. Mazurek, Dds, Pc NPI is 1871877365, taxonomy code is 122300000X and license number is 035995-1, license state is located at New York. Vincent M. Mazurek, Dds, Pc physically located at 823 W Jericho Tpke, Smithtown NY, 11787-3216. NPI Number 1033115704 has the healthcare provider type.

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1871877365 NPI number is provided on an as is basis without warranty of any kind. 1871877365 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent M. Mazurek, Dds, Pc are for informational purposes only.