Individual
CHANTAL KHALILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 E GARVEY AVE N, WEST COVINA, CA 91791-1500
(626) 966-3033
Mailing address
100 S DOHENY DR APT 709, LOS ANGELES, CA 90048-2992
(310) 498-3498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
65065
CA
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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