Mujtaba Khan

NPI #1093260366 in Green Bay, Wisconsin

Provider Information

NPI Number
1093260366
Entity Type
Individual
Name
Mujtaba Khan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Aug 16, 2016
Last Updated
Jan 26, 2017

Practice Location

Address
1931 MAIN ST
ZIP Code
54302-3920
Phone
(920) 499-2770

Specialties & Taxonomy Codes

Specialty
Dentist

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