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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LASSAK GLOW
NPI 1093623233
Dentist - Pediatric Dentistry in Panorama City, CA

Active since August 29, 2026
13606 ROSCOE BLVD UNIT P3, PANORAMA CITY, CA 91402(747) 321-1509 Get Directions Write a Review

NPPES record added: August 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lassak Glow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LASSAK GLOW (NPI 1093623233) is a healthcare organization registered as a pediatric dentistry in Panorama City, California and active in the NPI registry since August 2026. The organization lists Lucia Lassakova, Owner, as its authorized official.

NPPES Registry Identity

NPI1093623233
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLASSAK GLOW
Location Address13606 ROSCOE BLVD UNIT P3Panorama City, CA 91402-3906
Mailing Address13606 Roscoe Blvd Unit P3Panorama City, CA 91402-3906 · (747) 321-1509
Phone(747) 321-1509
Organization SubpartNo
Authorized OfficialLucia LassakovaOwner · (747) 321-1509
Enumeration DateAugust 29, 2026
NPPES CertifiedAugust 29, 2026
✔ NPI 1093623233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
13606 ROSCOE BLVD UNIT P3, Panorama City, CA 91402
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lassak Glow's NPI number?

The NPI number for Lassak Glow is 1093623233. It was assigned to this organization in the NPPES registry on August 29, 2026.

Where is Lassak Glow located?

Lassak Glow is located at 13606 Roscoe Blvd Unit P3, Panorama City, CA 91402. The listed phone number is (747) 321-1509.

What is Lassak Glow's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Lassak Glow was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.