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Organization
EYVAZI DENTAL CORP.
Active
Organization
EYVAZI DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXI EYVAZI DDS (PRESIDENT)
(310) 856-6574
Entity
Organization
Contact information
Practice address
13624 HAWTHORNE BLVD STE 205, HAWTHORNE, CA 90250-5818
(310) 856-6574
Mailing address
13624 HAWTHORNE BLVD STE 205, HAWTHORNE, CA 90250-5818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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