Individual
MRS. TALIEH KHOSHKHELGHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1960 GLENOAKS BLVD STE 2, SAN FERNANDO, CA 91340-1691
(818) 361-1717
(818) 361-1016
Mailing address
617 ORANGE GROVE AVE UNIT G, SOUTH PASADENA, CA 91030-2355
(310) 880-5417
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH35412
CA
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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