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Organization
KHALED EISSA DDS INC
Active
Organization
KHALED EISSA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED EISSA DDS (C.E.O.)
(763) 587-8345
Entity
Organization
Contact information
Practice address
31737 RIVERSIDE DR STE B, LAKE ELSINORE, CA 92530-7890
(951) 674-8707
Mailing address
1935 DAINTY WAY, HEMET, CA 92545-8960
(763) 587-8345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59237
CA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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