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1033244900
MONICA ELIZABETH BAZAN
IRVING, TX
NPI
1033244900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: TX 19677)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Dr. MONICA ELIZABETH BAZAN DDS
1075 KINWEST PKWY 100
IRVING, TX 75063-3407
Phone number: 972-506-9688
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Mailing Address
Dr. MONICA ELIZABETH BAZAN DDS
4739 MILL CREEK RD
DALLAS, TX 75244-6917
Phone number:
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