Individual
DR. KHALID R JILANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
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
122300000X
Dentist
64416
CA
122300000X
Dentist
Primary
6504
NV
1223E0200X
Endodontics
6504
NV
1223P0300X
Periodontics
6504
NV
1223P0700X
Prosthodontics
6504
NV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6504
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100539380
—
NV
Enumeration date
06/06/2014
Last updated
06/12/2023
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