NPI 1306115597 · live from the CMS NPI Registry
Anna Marie Mazoch, DDS, P.A.
Dentist in Wilmington, DE. National Provider Identifier 1306115597, active.
NPI record
| NPI | 1306115597 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 2601 Annand Dr, Suite 18, Wilmington, DE 19808 |
| Practice phone | 302-998-9594 |
| Mailing address | 2601 Annand Drive, Suite 18, Wilmington, DE 19808 |
| Enumerated | December 19, 2011 |
| Last updated | December 19, 2011 |
| Authorized official | Anna Mazoch, President/Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | G1-001096 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.