Individual
DR. EMAD GUS KHALIFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
20950 N TATUM BLVD STE 210, PHOENIX, AZ 85050-4268
(480) 538-8100
(480) 535-8101
Mailing address
20950 N TATUM BLVD STE 210, PHOENIX, AZ 85050-4268
(480) 538-8100
(480) 535-8101
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6338
AZ
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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