Individual
SARA KHOSHBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
16 VIA TERRACALETA, COTO DE CAZA, CA 92679-4016
(818) 486-4573
Mailing address
16 VIA TERRACALETA, COTO DE CAZA, CA 92679-4016
(818) 486-4573
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
59934
CA
Other
Enumeration date
03/25/2012
Last updated
03/25/2012
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