Most Relevant Information
Provider Data
| NPI Number: | 1003349770 |
| Provider Name: | JOSEPH KHALOO D.D.S |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/09/2017 |
| Last Updated: | 02/07/2019 |
Provider Practice Location
11215 84TH AVE
RICHMOND HILL
NY
114181321
Practice Location Phone/Fax
| Phone: | 3475561994 |
| Fax: |
Provider Mailing Location
11215 84TH AVE
RICHMOND HILL
NY
114181321
Provider Mailing Phone/Fax
| Phone: | 3475561994 |
| Fax: |