Individual
MAYRA BAZAVILVAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1012 BRIOSO DR STE 105, COSTA MESA, CA 92627-4544
(305) 298-8797
Mailing address
1401 AVOCADO AVE, 502, NEWPORT BEACH, CA 92660-7720
(949) 640-9554
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
60257
CA
1223P0300X
Periodontics
DN17300
FL
Other
Enumeration date
04/27/2011
Last updated
06/10/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us