Individual
KATY CHAHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12055 GOSHEN AVE, LOS ANGELES, CA 90049-6309
(519) 562-5471
Mailing address
12055 GOSHEN AVE, LOS ANGELES, CA 90049-6309
(519) 562-5471
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2901019187
MI
1223P0300X
Periodontics
Primary
59222
CA
Other
Enumeration date
08/13/2007
Last updated
11/04/2014
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