Individual
DR. ALI M KHOSROVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4905 YORK BLVD, LOS ANGELES, CA 90042-2022
(310) 968-9192
(310) 575-9822
Mailing address
4905 YORK BLVD, LOS ANGELES, CA 90042-1609
(323) 255-8774
(323) 255-6259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
56085
CA
1223G0001X
General Practice Dentistry
Primary
56085
CA
Other
Enumeration date
09/27/2007
Last updated
12/06/2021
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