Mark Steven Lisagor in Camarillo - Pediatric Dentistry

Mark Steven Lisagor - NPI 1003968934

Mark Steven Lisagor is a Pediatric Dentistry in Camarillo, California. Mark Steven Lisagor practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mark Steven Lisagor is 1003968934. The last update date is 2007-07-08.

Mark Steven Lisagor's current location address is 477 Calle Higuera, Camarillo, California. You can contact this provider via phone number 8054843928 and fax number 8053881258. The mailing address for Mark Steven Lisagor is 477 Calle Higuera, Camarillo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Steven Lisagor
Address 477 Calle Higuera, Camarillo, California
Phone Number 8054843928
Fax Number 8053881258
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1003968934
Provider Enumeration Date 2007-01-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 477 Calle Higuera
City Camarillo
State California (CA)
Post Code 930101812
Phone Number 8054843928
Fax Number 8053881258

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No D23636
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Mark Steven Lisagor

What is the unique 10-digit identification code issued to Mark Steven Lisagor by the Centers for Medicare & Medicaid Services?

The Mark Steven Lisagor has been assigned the NPI (National Provider Identifier) 1003968934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Mark Steven Lisagor is physically located?

The Mark Steven Lisagor is situated at the following address: 477 Calle Higuera, Camarillo, CA 930101812.

What is Mark Steven Lisagor's area of expertise and its corresponding taxonomy classification?

The Mark Steven Lisagor's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003968934 to Mark Steven Lisagor?

The Centers for Medicare & Medicaid Services originally issued the 1003968934 to Mark Steven Lisagor on 2007-01-18.

When was the information related to Mark Steven Lisagor most recently updated or refreshed?

The details pertaining to the Mark Steven Lisagor, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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