Individual
DR. ERIC FAYZIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1210 N ROCK RD, MULVANE, KS 67110-1118
(316) 777-1151
Mailing address
1210 N ROCK RD, MULVANE, KS 67110-1118
(316) 777-1151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60800
KS
Other
Enumeration date
06/14/2011
Last updated
09/06/2013
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