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1164885547
MICHAEL FAZZONE
SALT LAKE CITY, UT
NPI
1164885547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-04-01
Last Update Date
2016-04-01
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
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Mailing Address
Dr. MICHAEL FAZZONE D.D.S.
35 COMELY LN
LATHAM, NY 12110-5230
Phone number: 518-281-0663
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