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1801158829
IMAD KHAN
IRVING, TX
NPI
1801158829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 30500)
Additional Taxonomies
122300000X Dentist
(Licence: NY 0551191)
Enumeration Date
2012-06-14
Last Update Date
2021-07-26
Business Address
IMAD KHAN D.D.S
1451 W AIRPORT FWY STE 103
IRVING, TX 75062-6223
Phone number: 817-676-1590
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Mailing Address
IMAD KHAN D.D.S
1451 W AIRPORT FWY STE 103
IRVING, TX 75062-6223
Phone number: 315-383-1074
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