Individual
DR. SUMRA SHAHIN KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
39 CROSS ST, SUITE 307, PEABODY, MA 01960-1670
(978) 717-5819
(978) 717-5826
Mailing address
39 CROSS ST, SUITE 307, PEABODY, MA 01960-1670
(978) 717-5819
(978) 717-5826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1855555
MA
122300000X
Dentist
19089
FL
Other
Enumeration date
04/01/2008
Last updated
11/05/2013
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