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John S Bazos,d.M.D.,p.A.

Dentist, Pediatric Dentistry in Coral Springs, FL. Organization (NPI-2).

NPI number1720009848
StatusActive
Last updated in NPPESAug 27, 2007

Details

NPI
1720009848
Entity type
Organization (NPI-2)
Legal business name
John S Bazos,d.M.D.,p.A.
Organization subpart
No
Enumeration date
Jul 22, 2006
Last updated
Aug 27, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric DentistryDS 12263FLYes

Practice location

9156 Wiles Rd
Coral Springs, FL 33067-1999

Phone 954-255-2787 · Fax 954-255-8307

Mailing address

9156 Wiles Rd
Coral Springs, FL 33067-1999

Phone 954-255-2787 · Fax 954-255-8307

Authorized official

John Bazos
President
9542552787

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