Individual
ISSA KAWAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2190 E BIDWELL ST, FOLSOM, CA 95630-6453
(916) 984-0304
(916) 983-9012
Mailing address
8690 SIERRA COLLEGE BLVD STE 160-171, ROSEVILLE, CA 95661-5961
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
61144
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
61144
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
61144
CA
Other
Enumeration date
03/18/2011
Last updated
09/29/2023
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