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Mayra Bazavilvazo, DMD
Periodontist in Costa Mesa, California
NPI 1437440260

Mayra Bazavilvazo is a Periodontist based in Newport Beach, CA and is specialized in Periodontics. Mayra Bazavilvazo practices in Costa Mesa, CA and has the professional credentials of DMD. The NPI Number for Mayra Bazavilvazo is 1437440260 and holds a License No. 60257 (California).

The current practice location address for Mayra Bazavilvazo is 1012 Brioso Dr Ste 105, Costa Mesa, CA and can be reached out via phone at 305-298-8797.

Location: 1012 Brioso Dr Ste 105, Costa Mesa, CA, 92660-7720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437440260
Provider Name
Mayra Bazavilvazo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1012 Brioso Dr Ste 105, Costa Mesa, CA, 92660-7720
Phone Number
305-298-8797
Fax Number
Provider Enumeration Date
04/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1012 Brioso Dr Ste 105
City
Costa Mesa
State
California
Zip
92627-4544
Phone Number
305-298-8797
Fax Number
person
Provider Business Mailing Address Details
Address
1012 Brioso Dr Ste 105
City
Costa Mesa
State
California
Zip
92627-4544
Phone Number
305-298-8797
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
60257 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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