Organization
MOHAMMED-ABDUL KHAN, DDS, MD, LLC
Active
Other names
THREE RIVERS ORAL AND MAXILLOFACIAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED-ABDUL KHAN DDS, MD (OWNER)
(724) 260-5184
Entity
Organization
Contact information
Practice address
3515 WASHINGTON RD, SUITE # 562, MC MURRAY, PA 15317-3063
(724) 260-5184
Mailing address
3515 WASHINGTON RD, SUITE # 562, MC MURRAY, PA 15317-3063
(724) 260-5184
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS029596L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077451000002
—
PA
Enumeration date
11/01/2012
Last updated
11/01/2012
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