| Bazos Dental Corporation, A Professional Corporation | |
|
23530 Hawthorne Blvd Ste 280 Torrance CA 90505-4767 | |
| (310) 378-1479 | |
| (310) 378-1479 |
| Full Name | Bazos Dental Corporation, A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 23530 Hawthorne Blvd Ste 280, Torrance, California |
| Authorized Official Name and Position | Vasiliki Bazos (OWNER) |
| Authorized Official Contact | 3103781479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bazos Dental Corporation, A Professional Corporation 23530 Hawthorne Blvd Ste 280 Torrance CA 90505-4767 Ph: (310) 378-1479 | Bazos Dental Corporation, A Professional Corporation 23530 Hawthorne Blvd Ste 280 Torrance CA 90505-4767 Ph: (310) 378-1479 |
| NPI Number | 1003338708 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003338708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43519 (California) | Primary |
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