Individual
SADAF KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10923 W LINCOLN AVE, WEST ALLIS, WI 53227-1173
(414) 327-4600
Mailing address
W240N6345 MAPLE AVE APT 308, SUSSEX, WI 53089-3655
(262) 337-0324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001713
WI
1223G0001X
General Practice Dentistry
1001713
WI
Other
Enumeration date
07/07/2017
Last updated
06/11/2021
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