Individual
SHADI RADY KHILLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
357 E MICHIGAN AVE, GALESBURG, MI 49053-9763
(269) 665-9997
(269) 665-5088
Mailing address
357 E MICHIGAN AVE, GALESBURG, MI 49053-9763
(269) 665-9997
(269) 665-5088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021326
MI
Other
Enumeration date
06/26/2014
Last updated
04/17/2017
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