Organization
AHMAD KHAN DENTAL CORP.
Active
Other names
iSmile Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SHEHZAD KHAN DDS (PRESIDENT)
(949) 378-9389
Entity
Organization
Contact information
Practice address
1530 W 6TH ST, SUITE 101-A, CORONA, CA 92882-2742
(949) 378-9389
(909) 622-0550
Mailing address
1530 W 6TH ST, SUITE 101-A, CORONA, CA 92882-2742
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54611
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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