Individual
CHRISTINA KASS ILIYYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W RANCHO VISTA BLVD, PALMDALE, CA 93551-3737
(317) 820-6664
Mailing address
10502 WHITE OAK AVE, GRANADA HILLS, CA 91344-5928
(317) 820-6664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105792
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
105792
CA
Other
Enumeration date
12/16/2020
Last updated
08/01/2024
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