Scott Joseph Mazzulo
Scott Joseph Mazzulo is a Dental Hygienist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
10102 NE Glisan StPortland, OR 97220-4456
Phone: (704) 909-8509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Hygienist (primary) | Taxonomy 124Q00000X · Licence H8536 (OR) |
|---|
Record details
| NPI number | 1346957743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 4, 2022 |
| Last updated in NPPES | November 4, 2022 |
| Certification date | November 3, 2022 |
| Mailing address | 11296 Se Aquila St, Happy Valley, OR 97086-7670 |
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