Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAYRA BAZAVILVAZO, D.M.D
Active Sole ProprietorMAYRA BAZAVILVAZO, D.M.D is a Periodontology healthcare provider located in COSTA MESA, California. NPI 1437440260 is currently active in the NPPES registry. Verify at CMS.
Periodontology · COSTA MESA, CA
Registration Details
- NPI Number
- 1437440260
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2011 (15.335439064791 yrs)
- Last Updated
- Jun 10, 2016
- Licenses
-
60257 (CA)DN17300 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1012 BRIOSO DR STE 105COSTA MESA, CA, 926274544Browse CA providers · Browse ZIP 92627
- Phone
- 3052988797
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in COSTA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| ROBERT MCLEOD | — | 1083695100 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.