Adiha Ali Khan, DDS Valid NPI
Individual provider · Dentist · Lake Jackson, TX
- NPI
- 1114442787
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 33251 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-08-04
- Last updated
- 2017-08-04
Practice location
90 Oak Dr Unit C
Lake Jackson, TX 77566-5201
(979) 583-6005