Provider Demographics
NPI:1659010627
Name:RAFIAH KHAN DDS, PLLC
Entity Type:Organization
Organization Name:RAFIAH KHAN DDS, PLLC
Other - Org Name:PLANTATION DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAFIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-886-0033
Mailing Address - Street 1:4417 SIENNA PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5900
Mailing Address - Country:US
Mailing Address - Phone:832-886-0033
Mailing Address - Fax:
Practice Address - Street 1:4417 SIENNA PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5900
Practice Address - Country:US
Practice Address - Phone:713-471-3699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-30
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty