Individual
DR. LYDIA KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2185 LEMOINE AVE, FORT LEE, NJ 07024
(201) 592-7727
Mailing address
77 HAMMELL PL, MAYWOOD, NJ 07607-1809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02721600
NJ
Other
Enumeration date
06/05/2017
Last updated
04/03/2019
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