Individual
LEILA KHOSSOOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2285 E FLAMINGO RD, 101, LAS VEGAS, NV 89119-5100
(310) 619-3447
Mailing address
2285 E FLAMINGO RD, 101, LAS VEGAS, NV 89119-5100
(702) 522-9192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61657
CA
122300000X
Dentist
Primary
6365
NV
Other
Enumeration date
09/18/2012
Last updated
12/31/2014
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