Individual
NICK KHALILKHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.S.
Contact information
Practice address
111 S PRESTON RD, SUITE 50, PROSPER, TX 75078-8884
(972) 432-4342
Mailing address
P.O.BOX 260341, PLANO, TX 75026
(917) 727-6630
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
25903
TX
Other
Enumeration date
09/11/2010
Last updated
10/14/2015
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