Individual
DR. BILAL SHAH KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9590 MEDLOCK BRIDGE RD, SUITE G, DULUTH, GA 30097-4443
(770) 232-5112
(770) 232-5115
Mailing address
9590 MEDLOCK BRIDGE RD, SUITE G, DULUTH, GA 30097-4443
(770) 232-5112
(770) 232-5115
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN013004
GA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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