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Individual

RIDILA KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
7525 N CEDAR AVE STE 105, FRESNO, CA 93720-2698
(559) 439-6600
Mailing address
21 W BARCELONA LN, CLOVIS, CA 93619-2601
(559) 708-2587

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901601601
MI
1223P0221X
Pediatric Dentistry
Primary
111144
CA

Other

Enumeration date
03/22/2023
Last updated
05/02/2025
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