Individual provider · Type 1 NPI
Mayra Bazavilvazo, D.M.D
Periodontics · Costa Mesa, CA
NPI number
1437440260
Active
Practice location
1012 Brioso Dr Ste 105
Costa Mesa, CA 92627-4544
Mailing address
1401 Avocado Ave, 502
Newport Beach, CA 92660-7720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 60257 (CA) |
| Periodontics | 1223P0300X | DN17300 (FL) |
Periodontics: 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.
Other periodontics providers in Costa Mesa
About NPI 1437440260
Mayra Bazavilvazo, D.M.D's National Provider Identifier is 1437440260, issued on Apr 27, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Costa Mesa, CA. The record was last updated on Jun 10, 2016.