Individual
FARAZ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
223 BLOOMFIELD AVE # 1, NEWARK, NJ 07104-1104
(973) 435-8100
Mailing address
7 CYPRESS CT, CLINTON, NJ 08809-2614
(908) 305-0355
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI03134300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/14/2026
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