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1336346196
MIR MA KHAN
WILKES BARRE, PA
NPI
1336346196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 052574-1)
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
Dr. MIR MA KHAN D.D.S
1111 E END BLVD VAMC MEDICAL CENTER DENTAL SERVICE
WILKES BARRE, PA 18711-0030
Phone number: 570-824-3521
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Mailing Address
Dr. MIR MA KHAN D.D.S
620 COUNTRY CLUB APTS ROUTE 309 N
DALLAS, PA 18612-8925
Phone number: 215-431-2000
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