Individual
DR. HASSAN ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
62 SHADOWRIDGE CT, OLNEY, MD 20832-3070
(240) 701-4883
Mailing address
4901 E KINGS CANYON RD, FRESNO, CA 93727-3812
(866) 592-8129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107374
CA
Other
Enumeration date
03/26/2022
Last updated
03/26/2022
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