Individual
AMIRA TADROUS KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6301 VAN NUYS BLVD, VAN NUYS, CA 91401-2611
(818) 787-6400
Mailing address
16543 VINTAGE ST, NORTH HILLS, CA 91343-1125
(818) 967-4578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111744
CA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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