DR. Adiha Ali Khan, DDS

NPI #1114442787 in Lake Jackson, Texas

Provider Information

NPI Number: 1114442787
Entity Type: Individual
Name: DR. Adiha Ali Khan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 4, 2017
Last Updated: Aug 4, 2017

Practice Location

Address: 90 OAK DR UNIT C
City: Lake Jackson
State: Texas
ZIP Code: 77566-5201
Phone: (979) 583-6005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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