Provider Demographics
NPI:1265251318
Name:MISHAIL, DANIEL ELIAHU (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ELIAHU
Last Name:MISHAIL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23896 KILLION ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5842
Mailing Address - Country:US
Mailing Address - Phone:818-823-9791
Mailing Address - Fax:
Practice Address - Street 1:704 S ALVARADO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-4020
Practice Address - Country:US
Practice Address - Phone:213-413-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110863122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist