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Organization
NIKNAM & KHANIAN DENTAL PRACTICE, INC.
Active
Organization
NIKNAM & KHANIAN DENTAL PRACTICE, INC.
Active
Other names
All Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE CAMILLE JOLICOEUR R.D.A (OFFICE MANAGER)
(661) 722-7722
Entity
Organization
Contact information
Practice address
4023 W AVENUE L, LANCASTER, CA 93536-4213
(661) 722-7722
(661) 722-7726
Mailing address
4023 W AVENUE L, LANCASTER, CA 93536-4213
(661) 722-7722
(661) 722-7726
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0300X
Periodontics
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
05/18/2007
Last updated
06/29/2011
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