Individual
DR. VAJAHAT YAR KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
225 NE 28TH ST, FORT WORTH, TX 76164-7205
(817) 624-0044
(817) 624-0041
Mailing address
6103 W MASTERS DR, APT # 1214, FORT WORTH, TX 76137-6865
(713) 992-2114
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1826141
—
TX
Enumeration date
02/12/2007
Last updated
10/07/2008
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