Abdul Wali Bayaz, DDS, INC.
Dentist in Van Nuys, CA. Organization (NPI-2).
NPI number1639397268
StatusActive
Last updated in NPPESApr 24, 2009
Details
- NPI
- 1639397268
- Entity type
- Organization (NPI-2)
- Legal business name
- Abdul Wali Bayaz, DDS, INC.
- Organization subpart
- No
- Enumeration date
- Apr 20, 2007
- Last updated
- Apr 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 49469 | CA | Yes |
Other names
- Maclay Bromont Family Dental Group (Doing Business As)
Practice location
14435 Hamlin St Ste 104Van Nuys, CA 91401-6205
Phone 818-898-0004 · Fax 818-787-0035
Mailing address
14435 Hamlin St Ste 104Van Nuys, CA 91401-6205
Phone 818-898-0004 · Fax 818-787-0035
Authorized official
Abdul Wali Bayaz
President
8187810004
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