Individual
DR. ASDAQ K KHAKWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16915 JAMAICA AVE, JAMAICA, NY 11432-5217
(718) 523-0401
Mailing address
16915 JAMAICA AVE, JAMAICA, NY 11432-5217
(718) 640-4713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051344
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02551706
—
NY
Enumeration date
05/05/2006
Last updated
01/07/2011
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