Individual
DR. MOHAMED IHSAN KAYALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1111 W COVINA BLVD, SUITE 220, SAN DIMAS, CA 91773-3205
(909) 599-9510
(909) 599-1610
Mailing address
1111 W COVINA BLVD, SUITE 220, SAN DIMAS, CA 91773-3205
(909) 599-9510
(909) 599-1610
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
44495
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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