Individual
ANNALISA TALASAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
936 N LA CIENEGA BLVD, WEST HOLLYWOOD, CA 90069-4710
(310) 801-6448
Mailing address
936 N LA CIENEGA BLVD, WEST HOLLYWOOD, CA 90069-4710
(310) 801-6448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60693
CA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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