Individual
DR. FATIMA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1600 SW ARCHER RD # D11-6, GAINESVILLE, FL 32610-3014
(352) 273-7631
(352) 273-6765
Mailing address
1600 SW ARCHER RD # D11-6, GAINESVILLE, FL 32610-0426
(352) 273-7631
(352) 273-6765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN24216
FL
1223P0221X
Pediatric Dentistry
Primary
DN24216
FL
Other
Enumeration date
06/18/2019
Last updated
06/08/2021
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