Individual
SARDAR MUSTAPA SHAH-KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
118 S COLONIAL AVE, CHARLOTTE, NC 28207
(704) 372-6393
(704) 372-2744
Mailing address
118 S COLONIAL AVE, CHARLOTTE, NC 28207
(704) 372-6393
(704) 372-2744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7516
NC
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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