Individual
DR. ADIBA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7814 N DALE MABRY HWY, TAMPA, FL 33614-3220
(813) 405-3939
Mailing address
7814 N DALE MABRY HWY, TAMPA, FL 33614
(813) 405-3939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23847
FL
390200000X
Student in an Organized Health Care Education/Training Program
DRP 1465
FL
Other
Enumeration date
01/28/2016
Last updated
02/19/2019
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