Individual
DR. SARAH KHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12455 VICTORIA GARDENS LN, SUITE 190, RANCHO CUCAMONGA, CA 91739-7530
(909) 463-7100
Mailing address
12455 VICTORIA GARDENS LN, SUITE 190, RANCHO CUCAMONGA, CA 91739-7530
(909) 463-7100
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60597
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2008
Last updated
09/23/2011
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