Provider Demographics
NPI:1538281233
Name:SAGAT, IZABELE EDITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:IZABELE
Middle Name:EDITA
Last Name:SAGAT
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 1:1145 LINDERO CANYON RD STE D5
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-5475
Mailing Address - Country:US
Mailing Address - Phone:818-991-0077
Mailing Address - Fax:818-991-0022
Practice Address - Street 1:1145 LINDERO CANYON RD STE D5
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-5475
Practice Address - Country:US
Practice Address - Phone:818-991-0022
Practice Address - Fax:818-991-0022
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA469481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice