Organization
AL DENTAL P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALI KHAN DDS (DENTIST)
(718) 478-6100
Entity
Organization
Contact information
Practice address
37 33 77 STREET, JACKSON HEIGHTS, NEW YORK, NY 11372
(718) 478-6100
Mailing address
37 33 77 ST JACKSON HEIGHTS, QUEENS, NY 11372
(718) 478-6100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045003
NY
Other
Enumeration date
06/14/2007
Last updated
07/26/2007
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