Individual
JAVERIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 CENTENNIAL AVE # 11, PISCATAWAY, NJ 08854-4324
(732) 981-1777
Mailing address
2 WISTERIA CT, PISCATAWAY, NJ 08854-3549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042357
PA
1223G0001X
General Practice Dentistry
Primary
22DI02860000
NJ
Other
Enumeration date
07/11/2019
Last updated
08/22/2023
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