Suzanne Khalili DDS INC
Dentist, General Practice in Huntington Park, CA. Organization (NPI-2).
NPI number1154773968
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1154773968
- Entity type
- Organization (NPI-2)
- Legal business name
- Suzanne Khalili DDS INC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2016
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 41096 | CA | Yes |
Practice location
2550 E Slauson Ave Ste K2Huntington Park, CA 90255-2889
Phone 213-765-8161 · Fax 678-716-1428
Mailing address
9911 W Pico Blvd Ste 950Los Angeles, CA 90035-2720
Phone 213-765-8161 · Fax 678-716-1428
Authorized official
Suzanne Khalili
Dentist
3109260352
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