DR. Mohamed Ihsan Kayali, D.D.S.

NPI #1477612406 in San Dimas, California

Provider Information

NPI Number: 1477612406
Entity Type: Individual
Name: DR. Mohamed Ihsan Kayali, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.D.S.
Enumeration Date: Dec 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1111 W COVINA BLVD
Address 2: SUITE 220
City: San Dimas
State: California
ZIP Code: 91773-3205
Phone: (909) 599-9510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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