Organization
ABDUL WALI BAYAZ, DDS, INC.
Active
Other names
Maclay Bromont Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL WALI BAYAZ D.D.S. (PRESIDENT)
(818) 781-0004
Entity
Organization
Contact information
Practice address
14435 HAMLIN ST STE 104, VAN NUYS, CA 91401-6205
(818) 898-0004
(818) 787-0035
Mailing address
14435 HAMLIN ST STE 104, VAN NUYS, CA 91401-6205
(818) 898-0004
(818) 787-0035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49469
CA
Other
Enumeration date
04/20/2007
Last updated
04/24/2009
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