Individual
DR. MONICA ELIZABETH BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1075 KINWEST PKWY, 100, IRVING, TX 75063-3407
(972) 506-9688
Mailing address
4739 MILL CREEK RD, DALLAS, TX 75244-6917
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19677
TX
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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