Individual
ZIA ULLAH KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
100 MATTIE HARRIS RD, CENTERVILLE, IN 47330-1335
(765) 855-3435
Mailing address
2200 W MAIN ST, RICHMOND, IN 47374-3882
(765) 973-9294
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029965
IN
Other
Enumeration date
07/21/2014
Last updated
05/05/2026
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