Individual
IMAD KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1451 W AIRPORT FWY, STE 103, IRVING, TX 75062-6223
(817) 676-1590
(817) 977-1110
Mailing address
1451 W AIRPORT FWY, STE 103, IRVING, TX 75062-6223
(315) 383-1074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0551191
NY
122300000X
Dentist
Primary
30500
TX
Other
Enumeration date
06/14/2012
Last updated
07/26/2021
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