Khalil, Mamoun K
Khalil, Mamoun K is an individual health care provider with primary practice located at 459 S Capital Ave Ste # 10, San Jose CA 95107. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Khalil, Mamoun K can be contacted via phone (408) 923-4989.Contact Information
Primary practice address
459 S Capital Ave Ste # 10
San Jose CA 95107
Phone: (408) 923-4989
Fax: (408) 923-3481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 43801 | California |
Profile Details
| NPI number | 1538177340 |
|---|---|
| LBN Legal business name | Khalil, Mamoun K |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538177340 | NPPES |
| California | Other | B4380101 | MEDI CAL CA STATE PROGRAM |
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