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Dr. Chris Michael Mazzola, DDS
General Practice Dentistry in Ketchum, Idaho
NPI 1932305919

Chris Michael Mazzola is a General Practice Dentistry based in Ketchum, ID and is specialized in General Practice. Chris Michael Mazzola practices in Ketchum, ID and has the professional credentials of DDS. The NPI Number for Chris Michael Mazzola is 1932305919 and holds a License No. D1444 (Idaho).

The current practice location address for Chris Michael Mazzola is 181 1St Ave N, Ketchum, ID and can be reached out via phone at 208-726-4711 and via fax at 208-726-6251. You can also correspond with Chris Michael Mazzola through the mailing address at PO BOX 3360, KETCHUM, ID - 83340 (mailing address contact number: 208-726-4711).

Location: 181 1St Ave N, Ketchum, ID, 83340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932305919
Provider Name
Chris Michael Mazzola
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
181 1St Ave N, Ketchum, ID, 83340
Phone Number
208-726-4711
Fax Number
208-726-6251
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
181 1St Ave N
City
Ketchum
State
Idaho
Zip
83340
Phone Number
208-726-4711
Fax Number
208-726-6251
person
Provider Business Mailing Address Details
Address
Po Box 3360
City
Ketchum
State
Idaho
Zip
83340
Phone Number
208-726-4711
Fax Number
208-726-6251
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D1444 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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