Individual
DR. JABIR AHMAD KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
Mailing address
8900 INDEPENDENCE PKWY APT 30103, PLANO, TX 75025-5257
(469) 238-5936
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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