Individual
BARRY JASON SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9201 SUNSET BLVD, SUITE 502, LOS ANGELES, CA 90069
(310) 275-3635
(310) 275-3646
Mailing address
9201 SUNSET BLVD, SUITE 502, LOS ANGELES, CA 90069
(310) 275-3635
(310) 275-3646
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
033376
CA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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