Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mayra Bazavilvazo, DMD

Individual provider Periodontics · NPI 1437440260

Mayra Bazavilvazo, DMD is a Periodontics in Costa Mesa, California. Practices as a sole proprietor. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1012 Brioso Dr Ste 105
Costa Mesa, CA 92627-4544
Phone: (305) 298-8797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 60257 (CA)
Periodontics Taxonomy 1223P0300X · Licence DN17300 (FL)

Record details

NPI number1437440260
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 27, 2011
Last updated in NPPESJune 10, 2016
Mailing address1401 Avocado Ave, 502, Newport Beach, CA 92660-7720

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