Individual
ALIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(717) 713-0642
Mailing address
801 OSTRUM ST STE 1, BETHLEHEM, PA 18015-1065
(717) 713-0642
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DS042975
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/07/2019
Last updated
06/01/2021
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