Organization · Type 2 NPI

Lassak Glow

Pediatric Dentistry · Panorama City, CA

NPI number 1093623233 Active

Practice location

13606 Roscoe Blvd Unit P3
Panorama City, CA 91402-3906

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1093623233

Lassak Glow's National Provider Identifier is 1093623233, issued on Aug 29, 2026. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Panorama City, CA. The record was last updated on Aug 29, 2026.