Individual
DR. BRIJ M KHANIJOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5411 E BUSCH BLVD, TAMPA, FL 33617-5417
(813) 985-0088
Mailing address
5411 E BUSCH BLVD, TAMPA, FL 33617-5417
(813) 985-0088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 11472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN 11472
FLORIDA DENTAL LICENSE
FL
Enumeration date
05/23/2007
Last updated
07/08/2007
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