Individual
ILAN KABOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2040 S MOONEY BLVD, VISALIA, CA 93277-6235
(559) 574-5437
Mailing address
1386 CASIANO RD, LOS ANGELES, CA 90049-1615
(310) 339-3697
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS108833
CA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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