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Organization

DRS. KHATIB & KHATIB, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANIA F KHATIB D.D.S (DENTIST)
(817) 921-4646
Entity
Organization

Contact information

Practice address
3513 MCCART AVE, SUITE A, FORT WORTH, TX 76110-4600
(817) 921-4646
(817) 921-4546
Mailing address
3513 MCCART AVE, SUITE A, FORT WORTH, TX 76110-4600
(817) 921-4646
(817) 921-4546

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
21722
TX
122300000X
Dentist
Primary
23286
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167065501
TX
05
194372201
TX
Enumeration date
01/08/2015
Last updated
01/08/2015
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