| Michael Issa Dds, Inc | |
|
2528 S Broadway Ste C Santa Maria CA 93454-7879 | |
| (805) 925-2628 | |
| (805) 925-2980 |
| Full Name | Michael Issa Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2528 S Broadway Ste C, Santa Maria, California |
| Authorized Official Name and Position | Michael Issa (PROVIDER) |
| Authorized Official Contact | 8582623216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Issa Dds, Inc 2528 S Broadway Ste C Santa Maria CA 93454-7879 Ph: (805) 925-2628 | Michael Issa Dds, Inc 2528 S Broadway Ste C Santa Maria CA 93454-7879 Ph: (805) 925-2628 |
| NPI Number | 1780485573 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780485573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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