MOID KHAN

LODI, CA
NPI1629593793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  101812)
Enumeration Date2017-08-09
Last Update Date2017-10-02
Business Address
Dr. MOID KHAN DDS
1104 S FAIRMONT AVE
LODI, CA 95240-5542
Phone number: 209-369-3657
Mailing Address
Dr. MOID KHAN DDS
PO BOX 622
WEST SACRAMENTO, CA 95691-0622
Phone number: 916-505-0810
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