# DR. KHALID R JILANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124431200
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 64416 | CA | — |
| 122300000X | Dentist | 6504 | NV | Yes |
| 1223E0200X | Endodontics | 6504 | NV | — |
| 1223P0300X | Periodontics | 6504 | NV | — |
| 1223P0700X | Prosthodontics | 6504 | NV | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6504 | NV | — |

## Other

- **Enumeration date:** 06/06/2014
- **Last updated:** 06/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100539380 | — | NV |