Organization
CALABASAS CENTER FOR ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXEI I MIZIN DMD (PRESIDENT)
(818) 225-2211
Entity
Organization
Contact information
Practice address
24013 VENTURA BLVD, SUITE 100, CALABASAS, CA 91302-1447
(818) 225-2211
(818) 225-7478
Mailing address
24013 VENTURA BLVD, SUITE 100, CALABASAS, CA 91302-1447
(818) 225-2211
(818) 225-7478
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
54286
CA
Other
Enumeration date
03/12/2009
Last updated
12/30/2014
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