Individual
MARIAM KHELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9042 CAHILL AVE, INVER GROVE HEIGHTS, MN 55076-3543
(651) 457-8282
Mailing address
948 CONEFLOWER CT, SAINT PAUL, MN 55123-3978
(651) 447-9835
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15174
MN
1223G0001X
General Practice Dentistry
D15174
MN
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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