Healthcare Provider Details

I. General information

NPI: 1881729192
Provider Name (Legal Business Name): YOSSI BAR-ZION, DDS, MS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 CINDY AVE
NEWBURY PARK CA
91320-3804
US

IV. Provider business mailing address

21 CINDY AVE
NEWBURY PARK CA
91320-3804
US

V. Phone/Fax

Practice location:
  • Phone: 805-552-9998
  • Fax:
Mailing address:
  • Phone: 805-552-9998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number45431
License Number StateCA

VIII. Authorized Official

Name: DR. YOSSI BAR-ZION
Title or Position: DOCTOR
Credential: DDS, MS
Phone: 805-552-9998