Individual
DR. JAY SISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., D.M.SC
Contact information
Practice address
10921 WILSHIRE BLVD, SUITE #611, LOS ANGELES, CA 90024-3906
(310) 208-3741
(310) 208-4990
Mailing address
10921 WILSHIRE BLVD, SUITE #611, LOS ANGELES, CA 90024-3906
(310) 208-3741
(310) 208-4990
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
45409
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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