Individual
MICHAEL ISSAKHARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
936 CRENSHAW BLVD STE 101, LOS ANGELES, CA 90019-1948
(323) 934-2804
Mailing address
936 CRENSHAW BLVD STE 101, LOS ANGELES, CA 90019-1948
(323) 934-2804
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
100934
CA
Other
Enumeration date
03/16/2015
Last updated
06/22/2020
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