Individual
ADEL S. KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
2435 WEBSTER ST STE 200, BERKELEY, CA 94705-2050
(510) 548-9114
(510) 548-8046
Mailing address
2435 WEBSTER ST STE 200, BERKELEY, CA 94705-2050
(510) 548-9114
(510) 548-8046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018891
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901018891
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
59216
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
4301093272
MI
Other
Enumeration date
05/01/2007
Last updated
10/24/2018
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