Eric Fayziev DDS PA

NPI #1225463433 in Mulvane, Kansas

Provider Information

NPI Number
1225463433
Entity Type
Organization
Organization Name
Eric Fayziev DDS PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 6, 2013
Last Updated
Sep 6, 2013

Practice Location

Address
1210 N ROCK RD
State
Kansas
ZIP Code
67110-1118
Phone
(316) 777-1151

Authorized Official

Name
DR. ERIC FAYZIEV, DDS
Title
PRESIDENT
Phone
(316) 777-1151

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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