Individual
ANJUM Z KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
384 S WEBER RD, PRISTINE FAMILY DENTAL, ROMEOVILLE, IL 60446-6521
(815) 609-1600
Mailing address
384 S WEBER RD, PRISTINE FAMILY DENTAL, ROMEOVILLE, IL 60446-6521
(815) 609-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026952
IL
Other
Enumeration date
10/24/2006
Last updated
07/21/2022
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