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DR. TONY BEIZAEE D.M.D
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1275739310
Individual Registrant:DR. TONY BEIZAEE D.M.D
Gender: M
Not Sole Proprietor
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
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
Tel: 949-362-3848 Fax: 949-362-7540
Registration Information:
NPI: 1275739310
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 52542 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
