Individual
DR. MOHAMMED REZA KHAKWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17081 W GREENWAY RD, SUITE 120, SURPRISE, AZ 85388-9612
(623) 546-8400
(623) 214-5830
Mailing address
17081 W GREENWAY RD, SUITE 120, SURPRISE, AZ 85388-9612
(623) 546-8400
(623) 214-5830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009075
AZ
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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