Individual
NABIL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14 MAIN ST, MAYNARD, MA 01754-2506
(978) 897-6399
Mailing address
1575 TREMONT ST APT 511, BOSTON, MA 02120-1628
(978) 349-8520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857680
MA
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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