Individual
MIRETTE KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4207 COLONIAL AVE, ROANOKE, VA 24018-4045
(540) 989-4549
Mailing address
4207 COLONIAL AVE, ROANOKE, VA 24018-4045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413734
VA
Other
Enumeration date
08/17/2011
Last updated
05/05/2015
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