Mujtaba Khan
NPI 1093260366 · on the registry since 2016
Practice
- Address
- 1931 Main St
Green Bay, WI 54302 - Phone
- (920) 499-2770
- Organisation at this address
- Familia Dental Green Bay East Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- IN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin