Individual
AZITA NAGHAVI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
146 NEWBRIDGE ROAD, HICKSVILLE, NY 11801
(516) 932-6200
(516) 932-0517
Mailing address
28 MERRICK AVE, SUITE 1, MERRICK, NY 11566
(516) 378-1033
(516) 379-3716
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
043143
NY
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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