Individual
BABAR R KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
281 HARTFORD TPKE, STE 306, VERNON, CT 06066-4784
(860) 875-5989
Mailing address
281 HARTFORD TPKE, STE 306, VERNON, CT 06066-4784
(860) 875-5989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009615
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
009615
CT
Other
Enumeration date
08/18/2006
Last updated
11/19/2009
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