Individual
MISS HIRA TARIQ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 DAWSONVILLE HWY # F, GAINESVILLE, GA 30501-2607
(678) 928-3219
Mailing address
2780 DRAYTON HALL DR, BUFORD, GA 30519-5803
(678) 515-5915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122838
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/14/2022
Last updated
08/15/2022
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