Individual
AMR KHATIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8210 FLOYD CURL DR # MC8103, SAN ANTONIO, TX 78229-3923
(210) 450-3273
Mailing address
7 N 8TH ST APT 1003, RICHMOND, VA 23219-3327
(703) 677-5419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000621
MA
390200000X
Student in an Organized Health Care Education/Training Program
ETN956
TX
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351323502011
—
VA
Enumeration date
05/16/2022
Last updated
11/24/2024
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