Individual
DR. TANYA KHAWAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
375 SIXTH ST, DOVER, NH 03820-5935
(603) 749-0636
Mailing address
223 INDIANA AVE APT 3205, LUBBOCK, TX 79415-5369
(806) 516-6738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04587
NH
Other
Enumeration date
11/08/2019
Last updated
05/04/2023
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