Dr. Mark Steven Lisagor
Pediatric Dentist
3687 Las Posas Rd #180
Camarillo
, California 93010-1482
Dr. Mark Steven Lisagor
Pediatric Dentist
3687 Las Posas Rd #180
Camarillo
, California 93010-1482
(805) 388-1258
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Mark Steven Lisagor
- 477 Calle Higuera
- Camarillo, CA
- Zip : 93010-1812
- Fax : (805) 388-1258
- Phone : (805) 484-3928
Second Address
- Dr. Mark Steven Lisagor
- 3687 Las Posas Rd #180
- Camarillo, CA
- Zip : 93010-1482
- Fax : (805) 484-5908
- Phone : (805) 484-2705
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | D23636 | CA |
National Provider Identifier
| NPI | 1003968934 |
|---|---|
| Provider Name | Dr. Mark Steven Lisagor |
| First Address | Camarillo, CA 93010-1812 |
| Second Address | Camarillo, CA 93010-1482 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.