Michael Leon Aznavour, D.D.S.

Individual provider Active NPI General Practice Dentistry · Newhall, CA

NPI 1417234303 · NPPES record last updated Dec 2, 2011

Key facts

NPI
1417234303
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
60511 (CA)
Practice address
23809 Valley Oak CT
Newhall, CA 91321-3747
Phone
(661) 313-5338
NPI assigned
Nov 7, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Interoperability endpoints

  • Direct secure messaging: maznavour@direct.westerndental.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60511 CA Yes

Addresses

Primary practice location

23809 Valley Oak CT
Newhall, CA 91321-3747

Mailing address

23809 Valley Oak CT
Newhall, CA 91321-3747
Phone (661) 313-5338

Other providers in Newhall, CA

All providers in Newhall, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.