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Faizullah Khan, DDS Valid NPI

Individual provider · General Practice Dentistry · St Paul, MN

NPI
1831200690
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
11885 (MN)
Sex
Male
Sole proprietor
No
Enumerated
2006-08-31
Last updated
2007-07-08
Practice location
205 Wabasha St S
St Paul, MN 55107
(651) 227-3757

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