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1568180628
NAIVASHA AYANA BAZELAIS
TAMPA, FL
NPI
1568180628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 27180)
Enumeration Date
2022-08-16
Last Update Date
2023-04-28
Business Address
NAIVASHA AYANA BAZELAIS DMD
6216 E SLIGH AVE
TAMPA, FL 33617-9105
Phone number: 813-397-5300
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Mailing Address
NAIVASHA AYANA BAZELAIS DMD
PO BOX 82969
TAMPA, FL 33682-2969
Phone number: 813-866-0930
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