Taufik Farady Iskaq, D.D.S.
Individual provider Active NPI General Practice Dentistry · Upland, CA
NPI 1356469944 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356469944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 35125 (CA)
- Practice address
- 495 N. Central Ave.,
Suite a
Upland, CA 91786-4219 - Phone
- (909) 931-2600
- Fax
- (909) 931-2605
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35125 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35125 | CA | Yes |
Addresses
Primary practice location
495 N. Central Ave.,
Suite a
Upland, CA 91786-4219
Mailing address
495 N. Central Ave.,
Suite a
Upland, CA 91786-4219
Phone (909) 931-2600
Other providers in Upland, CA
- Robert S Iqal
- Keely Irvine
- Isa Nursing Professional Corporation
- Isabel Perez Ferreruela, DDS, Inc
- Ishca Corporation
- Ivy Hospice Care, Inc.
- Diba Izadyar
- Thomas Jacobs
- Tami Janine Jacobson
- Katie Ellen Jacquez
All providers in Upland, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.