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NPI Code Detail

MEDICARE: SARAH KHAN DMD

MEDICARE: SARAH KHAN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDDS108888CA

General Provider Information

NPI Number : 1902473077
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH KHAN DMD
Provider Business Mailing Address
First Line : 1300 W LINCOLN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3127
Country : US
Telephone Number : 414-662-0235
Fax Number :
Provider Business Practice Location Address
First Line : 1300 W LINCOLN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3127
Country : US
Telephone Number : 414-662-0235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2021
Last Update Date : 04/12/2026

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