# DIMITRI BIZOUMIS, DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811619588
- **Authorized official:** DR. DIMITRI BIZOUMIS DDS (OWNER)
- **Authorized official phone:** (310) 926-3311

## Contact information

- **Practice address:** 6452 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2599
- **Practice address phone:** (714) 898-3882
- **Practice address fax:** (714) 890-1025
- **Mailing address:** 6452 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2599
- **Mailing address phone:** (714) 898-3882
- **Mailing address fax:** (714) 890-1025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2022
- **Last updated:** 09/19/2022