Individual
SUNDAS KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
91 EAST AVE, NORWALK, CT 06851-5020
(203) 299-0111
Mailing address
795 COLUMBUS AVE APT 9N, NEW YORK, NY 10025-5949
(516) 754-5596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12960
CT
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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