| Angela Ayzin, Dds, Yan Ayzin, Dds, A Dental Corp | |
|
1621 Colorado Blvd Los Angeles CA 90041 | |
| (323) 344-0448 | |
| (323) 256-0727 |
| Full Name | Angela Ayzin, Dds, Yan Ayzin, Dds, A Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 1621 Colorado Blvd, Los Angeles, California |
| Authorized Official Name and Position | Angela Aleksandra Ayzin (OWNER) |
| Authorized Official Contact | 3233440448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Ayzin, Dds, Yan Ayzin, Dds, A Dental Corp 1621 Colorado Blvd Los Angeles CA 90041 Ph: (323) 344-0448 | Angela Ayzin, Dds, Yan Ayzin, Dds, A Dental Corp 1621 Colorado Blvd Los Angeles CA 90041 Ph: (323) 344-0448 |
| NPI Number | 1134303282 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134303282 | NPI | - | NPPES |
| G9296402 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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