| Edison Ishaya Dental | |
|
20501 Roscoe Blvd Winnetka CA 91306-1701 | |
| (847) 501-0066 | |
| (209) 498-0006 |
| Full Name | Edison Ishaya Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20501 Roscoe Blvd, Winnetka, California |
| Authorized Official Name and Position | Edison Ishaya (OWNER-DENTIST) |
| Authorized Official Contact | 8475010066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edison Ishaya Dental 20501 Roscoe Blvd Winnetka CA 91306-1701 Ph: (847) 501-0066 | Edison Ishaya Dental 20501 Roscoe Blvd Winnetka CA 91306-1701 Ph: (847) 501-0066 |
| NPI Number | 1578359832 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 04/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578359832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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