Individual
ANJILA KEYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6745 WOODMAN AVE, VAN NUYS, CA 91401-1024
(818) 441-4598
Mailing address
6745 WOODMAN AVE, VAN NUYS, CA 91401-1024
(818) 441-4598
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110524
CA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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