Individual
KHABBAB KHALID BAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2207
(860) 679-1899
Mailing address
1250 FARMINGTON AVE APT A22, WEST HARTFORD, CT 06107-2631
(860) 548-6787
(860) 679-1899
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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