Individual
MOIZ S KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2298 WILKES BARRE TOWNSHIP MARKET PL, WILKES BARRE, PA 18702-6061
(561) 934-9636
Mailing address
13A BEAVER CT, WILKES BARRE, PA 18702-7895
(240) 506-3550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043508
PA
Other
Enumeration date
07/26/2018
Last updated
08/12/2025
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