Individual
SARA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
5430 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6446
(317) 322-1840
Mailing address
5430 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6446
(317) 322-1840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012197A
IN
Other
Enumeration date
07/21/2014
Last updated
11/24/2014
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