Individual
DR. MARYANA F KIROLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2608 STATE ST, EAST SAINT LOUIS, IL 62205-2325
(618) 857-2300
(618) 857-2302
Mailing address
26 KENTOM DR, OLIVETTE, MO 63132-4108
(314) 442-6446
(314) 442-6446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028806
IL
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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