Individual
SANABIL MANZOOR KHATTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
108 PICCADILLY DR STE A, WINSTON SALEM, NC 27104-3526
(336) 760-8700
(336) 518-0415
Mailing address
108 PICCADILLY DR STE A, WINSTON SALEM, NC 27104-3526
(336) 760-8700
(336) 518-0415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN123112
GA
1223G0001X
General Practice Dentistry
Primary
13949
NC
Other
Enumeration date
03/06/2023
Last updated
11/06/2024
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