# ERIC FAYZIEV DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mulvane Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225463433
- **Authorized official:** DR. ERIC FAYZIEV DDS (PRESIDENT)
- **Authorized official phone:** (316) 777-1151

## Contact information

- **Practice address:** 1210 N ROCK RD, MULVANE, KS 67110-1118
- **Practice address phone:** (316) 777-1151
- **Mailing address:** 1210 N ROCK RD, MULVANE, KS 67110-1118
- **Mailing address phone:** (316) 777-1151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60800 | KS | Yes |

## Other

- **Enumeration date:** 09/06/2013
- **Last updated:** 09/06/2013