S A Khan, D.D.S.

NPI #1356564249 in Windsor, Wisconsin

Provider Information

NPI Number: 1356564249
Entity Type: Individual
Name: S A Khan, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 10, 2007
Last Updated: Nov 11, 2014

Practice Location

Address: 6729 LAKE ROAD
City: Windsor
State: Wisconsin
ZIP Code: 53598
Phone: (608) 846-5407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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