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Individual
DR. SHAN M KHAN
Active
Individual
DR. SHAN M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061762-01
NY
122300000X
Dentist
4424
AR
Other
Enumeration date
06/14/2020
Last updated
04/21/2022
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