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NPI Code Detail

MEDICARE: DR. CHRISTOPHER JOHN MOZRALL DDS

MEDICARE:  DR. CHRISTOPHER JOHN MOZRALL  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0700XProsthodontics045769NY

General Provider Information

NPI Number : 1235221193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER JOHN MOZRALL DDS
Provider Business Mailing Address
First Line : 2674 CHILI AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-4154
Country : US
Telephone Number : 585-247-6018
Fax Number : 585-247-8521
Provider Business Practice Location Address
First Line : 2674 CHILI AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-4154
Country : US
Telephone Number : 585-247-6018
Fax Number : 585-247-8521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHRISTOPHER JOHN MOZRALL DDS” Practice Location

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