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

Dr. Khal Liam Mancini, DDS

Individual provider Dentist · NPI 1104599612

Dr. Khal Liam Mancini, DDS is a Dentist in Rancho Cucamonga, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

9543 Retreat Pl
Rancho Cucamonga, CA 91730-9201
Phone: (323) 649-4629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 106718 (CA)

Record details

NPI number1104599612
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 29, 2021
Last updated in NPPESJuly 29, 2021
Certification dateJuly 28, 2021

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