Individual
AQIB NAWAZ KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
USA DENTAL ACTIVITY, 2901 CASSIDY RD, FORT BLISS, TX 79916
(915) 742-5935
Mailing address
USA DENTAL ACTIVITY ATTN: CREDENTIALS, 2901 CASSIDY RD, FORT BLISS, TX 79916
(915) 742-5935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14252
MN
Other
Enumeration date
08/01/2019
Last updated
07/23/2020
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