Individual
DR. OSMAN MIR KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6100 WASHINGTON AVE STE F2, MOUNT PLEASANT, WI 53406-4000
(262) 999-9998
Mailing address
4440 W LUNT AVE, LINCOLNWOOD, IL 60712-2223
(847) 414-8990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032638
IL
122300000X
Dentist
Primary
1002356-15
WI
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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