Organization
KHAN ALI DENTAL CORPORATION
Active
Other names
Kool Kidz Dentist & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SHEHZAD KHAN D.D.S. (PRESIDENT)
(949) 378-9389
Entity
Organization
Contact information
Practice address
18 RANCHO CAMINO DR, SUITE 104, POMONA, CA 91766-7003
(949) 378-9389
Mailing address
18 RANCHO CAMINO DR, SUITE 104, POMONA, CA 91766-7003
(949) 378-9389
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54611
CA
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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