Individual
DR. ALI AMIR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7210 DAY CREEK BLVD STE 110, RANCHO CUCAMONGA, CA 91739-7543
(909) 803-1111
Mailing address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 820-9933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106457
—
CA
Enumeration date
07/07/2021
Last updated
07/07/2021
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