Individual provider · Type 1 NPI

Mariam Khan

Periodontics · Detroit, MI

NPI number 1730780933 Active

Practice location

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576

Call (313) 494-6700 Map

Mailing address

200 Riverfront Dr Apt 22G
Detroit, MI 48226-7580

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X2901600674 (MI)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1730780933

Mariam Khan's National Provider Identifier is 1730780933, issued on Nov 4, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Detroit, MI. The record was last updated on Nov 4, 2020.