Individual
MASHAL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
300 W 14 MILE RD, TROY, MI 48083-4218
(248) 585-5227
(248) 585-6358
Mailing address
5456 SAINT MARTINS CT, BLOOMFIELD HILLS, MI 48302-2549
(248) 298-6934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020474
MI
Other
Enumeration date
08/19/2011
Last updated
02/20/2015
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