Individual
MOHAMMAD ABBAS KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 CORNERSTONE DR, SOUTH WINDSOR, CT 06074-6302
(617) 637-3637
Mailing address
101 CORNERSTONE DR, SOUTH WINDSOR, CT 06074-6302
(617) 637-3637
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857790
MA
1223G0001X
General Practice Dentistry
12164
CT
Other
Enumeration date
10/11/2017
Last updated
06/27/2024
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