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Organization
ABDUL WALI BAYAZ, DDS, INC.
Active
Organization
ABDUL WALI BAYAZ, DDS, INC.
Active
Other names
Maclay Bromont Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL WALI BAYAZ D.D.S. (PRESIDENT)
(818) 781-0004
Entity
Organization
Contact information
Practice address
14435 HAMLIN ST STE 104, VAN NUYS, CA 91401-6205
(818) 898-0004
(818) 787-0035
Mailing address
14435 HAMLIN ST STE 104, VAN NUYS, CA 91401-6205
(818) 898-0004
(818) 787-0035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49469
CA
Other
Enumeration date
04/20/2007
Last updated
04/24/2009
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