Individual
ASAD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3102 E ELK LN, FREMONT, NE 68025-8636
(402) 512-4028
Mailing address
6326 N CAMPBELL AVE, CHICAGO, IL 60659-1902
(773) 540-0598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7943
NE
Other
Enumeration date
03/23/2023
Last updated
07/05/2023
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