Michael Ayzin Dds Dental Corp | |
1202 Bristol St Ste 120 Costa Mesa CA 92626-8606 | |
(714) 540-5511 | |
(714) 540-1733 |
Full Name | Michael Ayzin Dds Dental Corp |
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Speciality | Dentist |
Location | 1202 Bristol St Ste 120, Costa Mesa, California |
Authorized Official Name and Position | Michael Ayzin (OWNER) |
Authorized Official Contact | 7145405511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael Ayzin Dds Dental Corp 1202 Bristol St Ste 120 Costa Mesa CA 92626-8606 Ph: (714) 540-5511 | Michael Ayzin Dds Dental Corp 1202 Bristol St Ste 120 Costa Mesa CA 92626-8606 Ph: (714) 540-5511 |
NPI Number | 1003298894 |
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Provider Enumeration Date | 06/29/2015 |
Last Update Date | 11/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003298894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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