Individual
DR. HELEN V FAZYLOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15816 LEMOYNE BLVD, SUITE A, BILOXI, MS 39532-4019
(228) 207-0046
(228) 207-0047
Mailing address
15816 LEMOYNE BLVD STE A, BILOXI, MS 39532-4048
(228) 207-0046
(228) 207-0047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401412901
VA
1223G0001X
General Practice Dentistry
Primary
3576-10
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08284523
—
MS
Enumeration date
07/06/2009
Last updated
07/08/2021
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