Abdul Wali Bayaz, DDS, Inc.

Organization Active NPI Dentist · Van Nuys, CA

NPI 1639397268 · NPPES record last updated Apr 24, 2009

Key facts

NPI
1639397268
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
49469 (CA)
Legal business name
ABDUL WALI BAYAZ, DDS, INC.
Practice address
14435 Hamlin St Ste 104
Van Nuys, CA 91401-6205
Phone
(818) 898-0004
Fax
(818) 787-0035
NPI assigned
Apr 20, 2007
Organization subpart
No

Authorized official

Name
Abdul Wali Bayaz, D.D.S. NPI 1134134729
Title
President
Phone
(818) 781-0004

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 49469 CA Yes

Addresses

Primary practice location

14435 Hamlin St Ste 104
Van Nuys, CA 91401-6205

Mailing address

14435 Hamlin St Ste 104
Van Nuys, CA 91401-6205
Phone (818) 898-0004

Other names

  • Maclay Bromont Family Dental Group Doing business as

Other providers in Van Nuys, CA

All providers in Van Nuys, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.