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NPI Code Detail

MEDICARE: DR. KHAN ASKARZOI DMD

MEDICARE: DR. KHAN ASKARZOI DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist62594CA

General Provider Information

NPI Number : 1295176709
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHAN ASKARZOI DMD
Provider Business Mailing Address
First Line : 12233 CENTRAL AVE UNIT 207-26
Second Line :
City : CHINO
State : CA
Zip : 91710-2423
Country : US
Telephone Number : 909-628-0208
Fax Number :
Provider Business Practice Location Address
First Line : 12233 CENTRAL AVE UNIT 207-26
Second Line :
City : CHINO
State : CA
Zip : 91710-2423
Country : US
Telephone Number : 909-628-0208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2013
Last Update Date : 06/23/2014

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