Organization
ANDREW K. IKAZAKI DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW KEN IKAZAKI DDS (DENTIST)
(310) 473-2727
Entity
Organization
Contact information
Practice address
11340 W OLYMPIC BLVD STE 360, LOS ANGELES, CA 90064-1624
(310) 473-2727
Mailing address
11340 W OLYMPIC BLVD STE 360, LOS ANGELES, CA 90064-1624
(310) 473-2727
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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