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Organization
EMMANUEL KANDKHOROV, D.D.S., INC.
Active
Organization
EMMANUEL KANDKHOROV, D.D.S., INC.
Active
Other names
MMSI Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL KANDKHOROV D.D.S. (PRESIDENT)
(949) 825-7799
Entity
Organization
Contact information
Practice address
33 CREEK RD STE A-150, IRVINE, CA 92604-4791
(949) 825-7799
Mailing address
33 CREEK RD STE A-150, IRVINE, CA 92604-4791
(949) 825-7799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50617
CA
Other
Enumeration date
09/12/2011
Last updated
01/08/2018
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