| Khawaja Dental, Llc | |
|
775 S Park St Suite 101 Carrollton GA 30117-3825 | |
| (404) 545-2452 | |
| Not Available |
| Full Name | Khawaja Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 775 S Park St, Carrollton, Georgia |
| Authorized Official Name and Position | Afsheen Afzal Khawaja (OWNER/DENTIST) |
| Authorized Official Contact | 7702142504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khawaja Dental, Llc 775 S Park St Suite 101 Carrollton GA 30117-3825 Ph: () - | Khawaja Dental, Llc 775 S Park St Suite 101 Carrollton GA 30117-3825 Ph: (404) 545-2452 |
| NPI Number | 1396014452 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396014452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013647 (Georgia) | Primary |
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