Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annie Khommarath

Individual provider Dental Assistant · NPI 1366982399

Annie Khommarath is a Dental Assistant in Palmdale, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

1846 Amargosa Dr
Palmdale, CA 93551-5114
Phone: (818) 645-6069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 79331 (CA)

Record details

NPI number1366982399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2017
Last updated in NPPESFebruary 23, 2017
Mailing address1846 Amargosa Dr, Palmdale, CA 93551-5114

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