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Contact Information

LEIZA Y WALIA, DMD
15160 KENSINGTON PARK DR STE 610
TUSTIN, CA92782
 Phone: 714-294-0907
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LEIZA Y WALIA · (Female)

NPI Number 1144672270
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/13/2016
Last updated 10/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 101937
  • NY License # 059183
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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