Organization
GRAND PARKWAY PEDIATRIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAISAL M KHAN DDS (OWNER/DENTIST)
(832) 222-8687
Entity
Organization
Contact information
Practice address
7910 W GRAND PKWY S STE 100, RICHMOND, TX 77406-5834
(832) 222-8687
Mailing address
7910 W GRAND PKWY S STE 100, RICHMOND, TX 77406-5834
(832) 222-8687
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202975308
—
TX
Enumeration date
03/28/2012
Last updated
12/04/2019
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