Individual
DR. KHALIL J ORSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2262 DUNN AVE STE 4, SUITE #4, JACKSONVILLE, FL 32218-4720
(904) 745-4555
Mailing address
1449 LEGION DR, COLUMBIA, SC 29229-9561
(803) 699-8196
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN17320
FL
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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