Organization
DIMITRI BIZOUMIS, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI BIZOUMIS DDS (OWNER)
(310) 926-3311
Entity
Organization
Contact information
Practice address
6452 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2599
(714) 898-3882
(714) 890-1025
Mailing address
6452 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2599
(714) 898-3882
(714) 890-1025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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