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DR. TONY BEIZAEE D.M.D

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1275739310

Individual Registrant:
DR. TONY  BEIZAEE D.M.D
Gender: M
Not Sole Proprietor

Location and contact information for practice:
23411 ALISO VIEJO PKWY D ALISO VIEJO, CA 92656-1532 US
Tel: 949-362-3848  Fax: 949-362-7540

Contact information for business:
23411 ALISO VIEJO PKWY D ALISO VIEJO, CA 92656-1532 US
Tel: 949-362-3848  Fax: 949-362-7540

Registration Information:
NPI: 1275739310
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA52542

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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