JEFF BUIZASTROW

IRVINE, CA
NPI1760054969
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  107613)
Additional Taxonomies122300000X Dentist
(Licence: NJ  22DR03668)
Enumeration Date2021-07-15
Last Update Date2023-03-24
Business Address
JEFF BUIZASTROW DDS
205 WICKER
IRVINE, CA 92618-1170
Phone number: 714-655-4600
Mailing Address
JEFF BUIZASTROW DDS
385 TREMONT AVE
EAST ORANGE, NJ 07018-1023
Phone number:
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