Individual provider · Type 1 NPI
Anwar Ibrahim Yacoub, DDS
General Practice Dentistry · Los Angeles, CA
NPI number
1902961022
Active
Practice location
12456 Venice Blvd
Los Angeles, CA 90066
Fax (310) 363-4410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D52697 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1902961022
Anwar Ibrahim Yacoub, DDS's National Provider Identifier is 1902961022, issued on Dec 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.