Individual
MAZEN KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3130 S WESTNEDGE AVE, KALAMAZOO, MI 49008-4927
(269) 459-9200
Mailing address
7817 OXFORD DR, CANTON, MI 48187-1337
(313) 377-1111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601535
MI
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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