Provider Demographics
NPI:1033676846
Name:KHAWAND, JOSEPH NABIL
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NABIL
Last Name:KHAWAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1348 EUCLID ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4844
Mailing Address - Country:US
Mailing Address - Phone:703-309-7362
Mailing Address - Fax:
Practice Address - Street 1:4512 N FLAGLER DR STE 301
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3899
Practice Address - Country:US
Practice Address - Phone:561-421-8395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014166401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice