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Dr. Omar Kholaki, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California
NPI 1750738555

Omar Kholaki is a Oral and Maxillofacial Surgery (Dentist) based in Glendale, CA and is specialized in Oral and Maxillofacial Surgery. Omar Kholaki practices in Los Angeles, CA and has the professional credentials of DDS,MD. The NPI Number for Omar Kholaki is 1750738555 and holds a License No. (California).

The current practice location address for Omar Kholaki is 2080 Century Park E Ste 610, Los Angeles, CA and can be reached out via phone at 424-209-4190.

Location: 2080 Century Park E Ste 610, Los Angeles, CA, 91214-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750738555
Provider Name
Omar Kholaki
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
2080 Century Park E Ste 610, Los Angeles, CA, 91214-1006
Phone Number
424-209-4190
Fax Number
Provider Enumeration Date
05/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2080 Century Park E Ste 610
City
Los Angeles
State
California
Zip
90067-2009
Phone Number
424-209-4190
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Century Park E Ste 610
City
Los Angeles
State
California
Zip
90067-2009
Phone Number
424-209-4190
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
102062 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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