Individual
DR. FARAH N KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
45535 HANFORD, CANTON, MI 48187
(734) 254-0786
(734) 254-0861
Mailing address
45535 HANFORD, CANTON, MI 48187
(734) 254-0786
(734) 254-0861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
543728
MI
1223P0221X
Pediatric Dentistry
Primary
547431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1698319
UNITED CONCORDIA
—
05
—
4755112
—
MI
Enumeration date
09/21/2006
Last updated
06/17/2019
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