| NPI | 1639397268 |
|---|---|
| Doing Business As | MACLAY BROMONT FAMILY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ABDUL WALI BAYAZ President 818-781-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 49469) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-04-24 |