Individual
AATIQAH AAKIFAH KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10964 RIVER RD, SAINT ROSE, LA 70087-3400
(504) 469-9778
Mailing address
5 CHATEAU MOUTON DR, KENNER, LA 70065-1902
(919) 475-6920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6992
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2018
Last updated
02/11/2020
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