Provider Demographics
NPI:1043559230
Name:ISKAROUS, VIOLA S (DDS)
Entity Type:Individual
Prefix:MRS
First Name:VIOLA
Middle Name:S
Last Name:ISKAROUS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 S. HACIENDA BLVD
Mailing Address - Street 2:SUITE 233
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745
Mailing Address - Country:US
Mailing Address - Phone:626-968-0052
Mailing Address - Fax:626-336-6706
Practice Address - Street 1:2440 SOUTH HACIENDA BLVD
Practice Address - Street 2:SUITE 233
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745
Practice Address - Country:US
Practice Address - Phone:626-968-0052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34348122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist