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Organization
KHALID R JILANI DMD LIMITED
Active
Organization
KHALID R JILANI DMD LIMITED
Active
Other names
Bonita Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID JILANI DMD (GENERAL DENTIST/MANAGER)
(702) 748-8244
Entity
Organization
Contact information
Practice address
2668 LAS VEGAS BLVD N STE 101, NORTH LAS VEGAS, NV 89030-5870
(702) 748-8244
(702) 997-1223
Mailing address
2668 LAS VEGAS BLVD N STE 101, NORTH LAS VEGAS, NV 89030-5870
(702) 748-8244
(702) 997-1223
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
6504
NV
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
NULL
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100539380
—
NV
Enumeration date
05/24/2016
Last updated
05/15/2023
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