Individual
DR. DANIEL KHORSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 W RANCHO VISTA BLVD, PALMDALE, CA 93551-3735
(661) 265-7800
Mailing address
269 S BEVERLY DR, BEVERLY HILLS, CA 90212-3851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62441
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
62441
CA
Other
Enumeration date
07/08/2013
Last updated
06/18/2019
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