Issa Dental Corporation
NPI #1790421725 in Long Beach, California
Provider Information
- NPI Number
- 1790421725
- Entity Type
- Organization
- Organization Name
- Issa Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 11, 2022
- Last Updated
- May 11, 2022
Practice Location
- Address
- 4440 E VILLAGE RD
- City
- Long Beach
- State
- California
- ZIP Code
- 90808-1540
- Phone
- (562) 425-3311
Authorized Official
- Name
- DR. TIKLAT ISSA, DDS
- Title
- DENTIST
- Phone
- (562) 425-3311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
| Dentist - General Practice — General Practice |
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