DR. Monica Elizabeth Bazan, DDS

NPI #1033244900 in Irving, Texas

Provider Information

NPI Number
1033244900
Entity Type
Individual
Name
DR. Monica Elizabeth Bazan, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Periodontics
Credential
DDS
Enumeration Date
Feb 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1075 KINWEST PKWY
Address 2
100
City
Irving
State
Texas
ZIP Code
75063-3407
Phone
(972) 506-9688

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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