Individual
ATOSA MAHJOORY-KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 HAMPTON POINT DR, SUITE 1 & 2, ST AUGUSTINE, FL 32092-3059
(904) 230-5590
(904) 230-5591
Mailing address
163 HAMPTON POINT DR, SUITE 1 & 2, ST AUGUSTINE, FL 32092-3059
(904) 230-5590
(904) 230-5591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 14201
FL
Other
Enumeration date
05/02/2007
Last updated
05/05/2008
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