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Organization
MICHAEL AYZIN DDS DENTAL CORP
Active
Organization
MICHAEL AYZIN DDS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AYZIN (OWNER)
(714) 540-5511
Entity
Organization
Contact information
Practice address
1202 BRISTOL ST STE 120, COSTA MESA, CA 92626-8606
(714) 540-5511
(714) 540-1733
Mailing address
1202 BRISTOL ST STE 120, COSTA MESA, CA 92626-8606
(714) 540-5511
(714) 540-1733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
11/23/2015
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