Angela Ayzin DDS And Van Ayzin DDS A Dental Coporation
Dentist in Glendale, CA. Organization (NPI-2).
NPI number1164585832
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1164585832
- Entity type
- Organization (NPI-2)
- Legal business name
- Angela Ayzin DDS And Van Ayzin DDS A Dental Coporation
- Organization subpart
- No
- Enumeration date
- Dec 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 34050 | CA | Yes |
| 122300000X | Dentist | 41813 | CA |
Practice location
815 So Central AveSuite 10
Glendale, CA 91204-2079
Phone 818-240-5800 · Fax 818-240-5801
Mailing address
815 So Central AveSuite 10
Glendale, CA 91204-2079
Phone 818-240-5800 · Fax 818-240-5801
Authorized official
Yan Ayzin
Corporate Officer
8182405800
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