Individual
SAJJAD A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, DDS
Contact information
Practice address
339 FLANDERS RD, SUITE 105, EAST LYME, CT 06333
(860) 691-0025
Mailing address
63 GRASSY HILL RD, EAST LYME, CT 06333
(860) 912-1180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7928
CT
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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