Yan Ayzin DDS

NPI 1073710240 - Dentist - 122300000X

NPI Details
NPI 1073710240
Gender Male
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
815 SO CENTRAL AVE
SUITE #10
GLENDALE CA, 91204-2079, US
Phone (818) 240-5800
Fax (818) 240-5801
Business Location
815 SO CENTRAL AVE
SUITE #10
GLENDALE CA, 91204-2079, US
Phone (818) 240-5800
Fax (818) 240-5801
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 34050
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According to our database, Mr. Yan Ayzin DDS NPI is 1073710240, taxonomy code is 122300000X and license number is 34050, license state is located at California. Yan Ayzin DDS physically located at 815 So Central Ave, Glendale CA, 91204-2079. NPI Number Yan Ayzin DDS has the Individual type.

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1073710240 NPI number is provided on an as is basis without warranty of any kind. 1073710240 is maintained by the National Plan & Provider Enumeration System. The contents of Yan Ayzin DDS are for informational purposes only.