Individual
DR. ADIHA ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
90 OAK DR UNIT C, LAKE JACKSON, TX 77566-5201
(979) 583-6005
Mailing address
4922 KIRBSTER LN, MISSOURI CITY, TX 77459-1257
(901) 598-0399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33251
TX
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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