Individual
DR. IZAZ M. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
58 W MAIN ST STE 1, PLAINVILLE, CT 06062-1993
(860) 400-0196
(860) 400-0198
Mailing address
247 COTTONWOOD RD, NEWINGTON, CT 06111-4218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011480
CT
Other
Enumeration date
07/03/2014
Last updated
08/06/2023
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