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Organization
EDISON ISHAYA DENTAL
Active
Organization
EDISON ISHAYA DENTAL
Active
Other names
ROSCOE MASON DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
EDISON ISHAYA DDS (OWNER-DENTIST)
(847) 501-0066
Entity
Organization
Contact information
Practice address
20501 ROSCOE BLVD, WINNETKA, CA 91306-1701
(847) 501-0066
(209) 498-0006
Mailing address
20501 ROSCOE BLVD, WINNETKA, CA 91306-1701
(847) 501-0066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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