MS. Shamina Khanum, DENTIST
NPI #1053724120 in Jackson, Mississippi
Provider Information
- NPI Number
- 1053724120
- Entity Type
- Individual
- Name
- MS. Shamina Khanum, DENTIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DENTIST
- Enumeration Date
- Jun 6, 2014
- Last Updated
- Jan 15, 2025
Practice Location
- Address
- 3502 WEST NORTHSIDE DRIVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39213
- Phone
- (601) 362-5321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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