Individual provider · Type 1 NPI

Chris Michael Mazzola, DDS

General Practice Dentistry · Ketchum, ID

NPI number 1932305919 Active

About NPI 1932305919

Chris Michael Mazzola, DDS's National Provider Identifier is 1932305919, issued on Jun 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ketchum, ID. The record was last updated on Jul 8, 2007.