Individual
MARIAN KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 BELMONT AVE., YOUNGSTOWN, OH 44501-1790
(330) 480-3195
Mailing address
2679 SAINT JOSEPH DR E APT A, DUNEDIN, FL 34698-1722
(248) 269-3346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23207
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
01/10/2016
Last updated
12/30/2020
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