Mayra Bazavilvazo, DMD | |
1012 Brioso Dr Ste 105, Costa Mesa, CA 92627-4544 | |
(305) 298-8797 | |
Not Available |
Full Name | Mayra Bazavilvazo |
---|---|
Gender | Female |
Speciality | Dentist - Periodontics |
Location | 1012 Brioso Dr Ste 105, Costa Mesa, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437440260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 60257 (California) | Primary |
1223P0300X | Dentist - Periodontics | DN17300 (Florida) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mayra Bazavilvazo, DMD 1401 Avocado Ave, 502, Newport Beach, CA 92660-7720 Ph: (949) 640-9554 | Mayra Bazavilvazo, DMD 1012 Brioso Dr Ste 105, Costa Mesa, CA 92627-4544 Ph: (305) 298-8797 |
Dr. Gary L Wyatt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1801 Newport Boulevard, Suite C, Costa Mesa, CA 92627 Phone: 949-650-1030 Fax: 949-722-2481 | |
Dr. Jeremy Brian Jorgenson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3033 Bristol St, Ste Aa, Costa Mesa, CA 92626 Phone: 714-424-9099 | |
Ms. Na Young Kim, Dentist Medicare: Medicare Enrolled Practice Location: 275 Victoria St Ste 2e, Costa Mesa, CA 92627 Phone: 714-873-7081 | |
Talayeh Azarpajouh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Harbor Blvd Ste G1, Costa Mesa, CA 92626 Phone: 714-546-6100 | |
Dr. Kouichi Itoh, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3151 Airway Ave. # F-103, Costa Mesa, CA 92626 Phone: 714-549-7030 | |
William Pomeroy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 181 E 18th St Ste D, Costa Mesa, CA 92627 Phone: 949-548-3384 | |
Dr. Ronald Dee Housepian, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2000 Newport Blvd, Costa Mesa, CA 92627 Phone: 949-642-7495 |