Individual
FAYROUZ S BAZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS, PHD
Contact information
Practice address
3501 TERRACE ST 2169 SALK HALL, PITTSBURGH, PA 15261-0001
(412) 383-1661
Mailing address
3501 TERRACE STREET 2169 SALK HALL, PITTSBURGH, PA 15261-0001
(421) 383-1661
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
RFD000063
PA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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