Individual
MARIAM KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
127 GREYROCK PL, STAMFORD, CT 06901-3100
(203) 323-5439
Mailing address
3905 GRENVILLE RD, UNIVERSITY HEIGHTS, OH 44118-3735
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
019.031527
IL
1223P0221X
Pediatric Dentistry
060919-01
NY
1223P0221X
Pediatric Dentistry
Primary
12629
CT
Other
Enumeration date
05/01/2015
Last updated
07/30/2020
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