CHRIS MICHAEL MAZZOLA

KETCHUM, ID
NPI1932305919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D1444)
Enumeration Date2007-06-26
Last Update Date2007-07-08
Business Address
Dr. CHRIS MICHAEL MAZZOLA DDS
181 1ST AVE N
KETCHUM, ID 83340
Phone number: 208-726-4711
Mailing Address
Dr. CHRIS MICHAEL MAZZOLA DDS
PO BOX 3360
KETCHUM, ID 83340
Phone number: 208-726-4711