Individual
DR. AYESHA SIDDIQUA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
200 N SAN JACINTO ST, WHITNEY, TX 76692-2388
(254) 694-4428
(254) 694-0280
Mailing address
200 N SAN JACINTO ST, P.O. BOX 1629, WHITNEY, TX 76692-2388
(254) 694-8920
(254) 694-0280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22058
TX
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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