Individual
KHOLA AHMED KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3867 UNION DEPOSIT RD, HARRISBURG, PA 17109-5920
(717) 558-0042
(717) 558-0244
Mailing address
6382 CREEKBEND DR, MECHANICSBURG, PA 17050-4000
(201) 565-7841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043382
PA
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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