Individual
GHAZAL KERMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 NORTH CLARK STREET, SUITE 600, CHICAGO, IL 60654
(312) 274-4526
Mailing address
31 SACRED PATH, IRVINE, CA 92618-8857
(949) 701-5320
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
107167
CA
Other
Enumeration date
11/02/2018
Last updated
08/14/2025
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