| Michael R. Mazukelli, Dds, P.c. | |
|
954 N Northwest Hwy Park Ridge IL 60068-2358 | |
| (847) 823-4045 | |
| Not Available |
| Full Name | Michael R. Mazukelli, Dds, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 954 N Northwest Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | Michael Mazukelli (PRESIDENT) |
| Authorized Official Contact | 8478234045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Mazukelli, Dds, P.c. 954 N Northwest Hwy Park Ridge IL 60068-2358 Ph: () - | Michael R. Mazukelli, Dds, P.c. 954 N Northwest Hwy Park Ridge IL 60068-2358 Ph: (847) 823-4045 |
| NPI Number | 1235342064 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235342064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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