Individual provider · Type 1 NPI
Michael Issakharian, DDS
Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA
NPI number
1699168583
Active
Practice location
936 Crenshaw Blvd Ste 101
Los Angeles, CA 90019-1948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 100934 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1699168583
Michael Issakharian, DDS's National Provider Identifier is 1699168583, issued on Mar 16, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 22, 2020.