Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK STEVEN LISAGOR, D.D.S.
Active Sole ProprietorDR. MARK STEVEN LISAGOR, D.D.S. is a Pediatric Dentistry healthcare provider located in CAMARILLO, California. NPI 1003968934 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CAMARILLO, CA
Registration Details
- NPI Number
- 1003968934
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.601353325781 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D23636 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3687 LAS POSAS RD#180CAMARILLO, CA, 930101482Browse CA providers · Browse ZIP 93010
- Phone
- 8054842705
- Fax
- 8054845908
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in CAMARILLO, CA
| Name | Credential | NPI |
|---|---|---|
| LYNN WAN | DDS | 1760533889 |
| DANNY NGUYEN | DDS | 1356503890 |
| BHUMI DESAI | DDS | 1386092278 |
| MADEEHA SIDDIQUI | DDS | 1992449995 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.