Organization
BAZOS DENTAL CORPORATION, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASILIKI BAZOS DDS (OWNER)
(310) 378-1479
Entity
Organization
Contact information
Practice address
23530 HAWTHORNE BLVD STE 280, TORRANCE, CA 90505-4767
(310) 378-1479
(310) 378-1479
Mailing address
23530 HAWTHORNE BLVD STE 280, TORRANCE, CA 90505-4767
(310) 378-1479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43519
CA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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