MICHAEL FAZZONE

SALT LAKE CITY, UT
NPI1164885547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-01
Last Update Date2016-04-01
Business Address
Dr. MICHAEL FAZZONE D.D.S.
530 SOUTH WAKARA WAY UNIVERSITY OF URAH, SCHOOL OF DENTISTRY
SALT LAKE CITY, UT 84108
Phone number: 801-581-8951
Mailing Address
Dr. MICHAEL FAZZONE D.D.S.
35 COMELY LN
LATHAM, NY 12110-5230
Phone number: 518-281-0663