Khaled Fawaz, DDS

NPI 1518214113 · on the registry since 2012 · sole proprietor

Practice

Address: 26902 Oso Pkwy
Suite 190
Mission Viejo, CA 92691
Phone: (949) 582-9206
Organisation at this address: Miku Pharmacy Inc
Miku Pharmacy Inc
S Veshkini Orthodontics Inc
Mission Family Practice Inc
Jerry S Benzl Md A California Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California