Organization
MOONA KHAN DDS PS
Active
Other names
South Sound Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MOONA KHAN DDS (DDS/OWNER)
(253) 473-4303
Entity
Organization
Contact information
Practice address
2115 S 56TH ST, SUITE 202, TACOMA, WA 98409-6902
(253) 473-4303
(253) 473-0201
Mailing address
2115 S 56TH ST, SUITE 202, TACOMA, WA 98409-6902
(253) 473-4303
(253) 473-0201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00011022
WA
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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