Individual
DR. FAYEZ AZIR KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1318 DAVIE AVE STE A, STATESVILLE, NC 28677-3565
(704) 871-1413
Mailing address
1318 DAVIE AVE STE A, STATESVILLE, NC 28677-3565
(704) 871-1413
(704) 871-0173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11578
NC
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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