| Issa Dental Corporation | |
|
4440 E Village Rd Long Beach CA 90808-1540 | |
| (562) 425-3311 | |
| Not Available |
| Full Name | Issa Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4440 E Village Rd, Long Beach, California |
| Authorized Official Name and Position | Tiklat Issa (DENTIST) |
| Authorized Official Contact | 5624253311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Issa Dental Corporation 4440 E Village Rd Long Beach CA 90808-1540 Ph: (562) 425-3311 | Issa Dental Corporation 4440 E Village Rd Long Beach CA 90808-1540 Ph: (562) 425-3311 |
| NPI Number | 1790421725 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790421725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
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