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Contact Information

KHALID R JILANI, DMD
2668 LAS VEGAS BLVD NORTH
SUITE 101
NORTH LAS VEGAS, NV89030
 Phone: 702-748-8244
 Fax: 702-997-1223
 Website: http://bonita.dental
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Periodontics

1223P0300X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for KHALID R JILANI · (Male)

NPI # 1124431200
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/06/2014
Last updated 06/12/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 64416
  • NV License # 6504
  • NV Medicaid 100539380
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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