Individual
FAISAL ALI KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4435 W 95TH ST, OAK LAWN, IL 60453-2625
(708) 423-5992
(708) 423-8552
Mailing address
4435 W 95TH ST, OAK LAWN, IL 60453-2625
(708) 423-5992
(708) 423-8552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019237
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901019237
MI
Other
Enumeration date
11/21/2006
Last updated
02/22/2016
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