Individual
SUMMER KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
639 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3109
(973) 481-3900
Mailing address
278 HEMLOCK TER, TEANECK, NJ 07666-6415
(973) 234-9971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03036400
NJ
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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