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Organization
ISSA DENTAL CORPORATION
Active
Organization
ISSA DENTAL CORPORATION
Active
Other names
LarIssa Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIKLAT ISSA DDS (DENTIST)
(562) 424-8537
Entity
Organization
Contact information
Practice address
3903 N VIRGINIA RD, LONG BEACH, CA 90807
(562) 424-8537
Mailing address
4440 E VILLAGE RD, LONG BEACH, CA 90808-1540
(624) 253-3115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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