Organization
ANGELA AYZIN, DDS, YAN AYZIN, DDS, A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA ALEKSANDRA AYZIN DDS (OWNER)
(323) 344-0448
Entity
Organization
Contact information
Practice address
1621 COLORADO BLVD, LOS ANGELES, CA 90041
(323) 344-0448
(323) 256-0727
Mailing address
1621 COLORADO BLVD, LOS ANGELES, CA 90041
(323) 344-0448
(323) 256-0727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9296402
—
CA
Enumeration date
12/26/2007
Last updated
12/26/2007
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