Individual
AZAM KHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1530 W COMMERCE CT, TUCSON, AZ 85746-6015
(520) 770-2700
(520) 770-2799
Mailing address
1530 W COMMERCE CT, TUCSON, AZ 85746-6015
(520) 770-2700
(520) 770-2799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5361
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589252
—
AZ
Enumeration date
11/29/2005
Last updated
07/08/2007
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