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Dr. Anwar Ibrahim Yacoub, DDS
General Practice Dentistry in Los Angeles, California
NPI 1902961022

Anwar Ibrahim Yacoub is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Anwar Ibrahim Yacoub practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Anwar Ibrahim Yacoub is 1902961022 and holds a License No. D52697 (California).

The current practice location address for Anwar Ibrahim Yacoub is 12456 Venice Blvd, Los Angeles, CA and can be reached out via phone at 310-390-2423 and via fax at 310-363-4410.

Location: 12456 Venice Blvd, Los Angeles, CA, 90066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902961022
Provider Name
Anwar Ibrahim Yacoub
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12456 Venice Blvd, Los Angeles, CA, 90066
Phone Number
310-390-2423
Fax Number
310-363-4410
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12456 Venice Blvd
City
Los Angeles
State
California
Zip
90066
Phone Number
310-390-2423
Fax Number
310-363-4410
person
Provider Business Mailing Address Details
Address
12456 Venice Blvd
City
Los Angeles
State
California
Zip
90066
Phone Number
310-390-2423
Fax Number
310-363-4410
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D52697 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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