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Individual
THERESE N KHALIL
Active
Individual
THERESE N KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041978
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131635
—
NY
Enumeration date
10/15/2005
Last updated
07/08/2007
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