Individual
DR. ANGELA ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16 CONSULTANT PL, SUITE 104, DURHAM, NC 27707-6313
(919) 402-1500
Mailing address
350 E TAYLOR ST, SAN JOSE, CA 95112
(805) 698-6178
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901018407
MI
122300000X
Dentist
63019
CA
1223G0001X
General Practice Dentistry
Primary
260057
NC
Other
Enumeration date
08/05/2006
Last updated
08/20/2016
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