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.
- Title
- President
- Phone
- (818) 781-0004
Practitioners 1
-
Abdul Wali Bayaz, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
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
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.