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Organization

DELMAR FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAZIA KHATTAK DMD (DENTIST)
(703) 853-8247
Entity
Organization

Contact information

Practice address
274 DELAWARE AVE, DELMAR, NY 12054-1436
(703) 853-8247
Mailing address
62 SPRUCE ST, CLIFTON PARK, NY 12065-1145
(703) 853-8247

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/25/2023
Last updated
12/25/2023
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