Bazos Dental Corporation, A Professional Corporation | |
23530 Hawthorne Blvd Ste 280 Torrance CA 90505-4767 | |
(310) 378-1479 | |
(310) 378-1479 |
Full Name | Bazos Dental Corporation, A Professional Corporation |
---|---|
Speciality | Dentist |
Location | 23530 Hawthorne Blvd Ste 280, Torrance, California |
Authorized Official Name and Position | Vasiliki Bazos (OWNER) |
Authorized Official Contact | 3103781479 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bazos Dental Corporation, A Professional Corporation 23530 Hawthorne Blvd Ste 280 Torrance CA 90505-4767 Ph: (310) 378-1479 | Bazos Dental Corporation, A Professional Corporation 23530 Hawthorne Blvd Ste 280 Torrance CA 90505-4767 Ph: (310) 378-1479 |
NPI Number | 1003338708 |
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Provider Enumeration Date | 07/13/2017 |
Last Update Date | 07/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003338708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 43519 (California) | Primary |
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