Individual
DR. ASHKAN KHOSHROU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1632 E KATELLA AVE, ORANGE, CA 92867-5095
(949) 584-2451
Mailing address
430 W ERIE STREET, STE 200, CHICAGO, IL 60622-1921
(949) 584-2451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62030
CA
Other
Enumeration date
07/11/2012
Last updated
10/23/2014
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