Individual provider · Type 1 NPI
Michelle Ikoma, DDS
Prosthodontics · Los Angeles, CA
NPI number
1134411523
Active
Practice location
925 W 34th St Ste 255
Los Angeles, CA 90089-0641
Mailing address
5012 W 58th Pl
Los Angeles, CA 90056-1637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 41093 (CA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1134411523
Michelle Ikoma, DDS's National Provider Identifier is 1134411523, issued on May 4, 2011. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Los Angeles, CA. The record was last updated on May 4, 2011.