Individual
GHAZALA RAHMAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
295 SUN HAVEN PL, SUITE 1, MANTECA, CA 95337-4316
(925) 819-1996
Mailing address
411 FUCHSIA LN, SAN RAMON, CA 94582-5710
(925) 736-8659
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
51483
CA
Other
Enumeration date
05/03/2006
Last updated
10/17/2013
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