Individual
DR. KHALIQ KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9020 W JUDGE PEREZ DR, CHALMETTE, LA 70043-4515
(985) 643-8800
Mailing address
4505 AVRON BLVD, METAIRIE, LA 70006-1214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6276
LA
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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