| Eric Fayziev Dds Pa | |
|
1210 N Rock Rd Mulvane KS 67110-1118 | |
| (316) 777-1151 | |
| Not Available |
| Full Name | Eric Fayziev Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1210 N Rock Rd, Mulvane, Kansas |
| Authorized Official Name and Position | Eric Fayziev (PRESIDENT) |
| Authorized Official Contact | 3167771151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Fayziev Dds Pa 1210 N Rock Rd Mulvane KS 67110-1118 Ph: (316) 777-1151 | Eric Fayziev Dds Pa 1210 N Rock Rd Mulvane KS 67110-1118 Ph: (316) 777-1151 |
| NPI Number | 1225463433 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 09/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225463433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60800 (Kansas) | Primary |