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Organization
TONY BEIZAEE DMD APDC
Active
Organization
TONY BEIZAEE DMD APDC
Active
Other names
ALISO CREEK DENAL
Organization subpart
No
Provider details
NPI number
Authorized official
TONY BEIZAEE DMD (DENTIST)
(949) 362-3848
Entity
Organization
Contact information
Practice address
6B LIBERTY ST, SUITE #155, ALISO VIEJO, CA 92656-5834
(949) 362-3848
(949) 362-7540
Mailing address
6B LIBERTY ST, SUITE #155, ALISO VIEJO, CA 92656-5834
(949) 362-3848
(949) 362-7540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
60128
CA
1223G0001X
General Practice Dentistry
53269
CA
1223P0300X
Periodontics
49607
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275739310
PPO
CA
Enumeration date
12/04/2017
Last updated
12/13/2023
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