Individual
MRS. MARIAMI TURABELIDZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 COLLEGE AVE BLDG 263, ALTON, IL 62002-4700
(618) 474-7000
Mailing address
7831 LAFON PL, SAINT LOUIS, MO 63130-3806
(646) 288-1126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035219
IL
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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