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Organization
SUZANNE KHALILI DDS INC
Active
Organization
SUZANNE KHALILI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE KHALILI DENTIST (DENTIST)
(310) 926-0352
Entity
Organization
Contact information
Practice address
2550 E SLAUSON AVE STE K2, HUNTINGTON PARK, CA 90255-2889
(213) 765-8161
(678) 716-1428
Mailing address
9911 W PICO BLVD STE 950, LOS ANGELES, CA 90035-2720
(213) 765-8161
(678) 716-1428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
553914872
DENTIST
CA
Enumeration date
07/05/2016
Last updated
12/13/2024
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