Individual
DR. JAN A KHORSANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PC
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051098L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02617999
—
NY
Enumeration date
12/02/2005
Last updated
07/08/2007
Update your record
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