Individual
DR. KHELLI A TIAGHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1736 DICKERSON BLVD, SUITE C, MONROE, NC 28110-2832
(704) 225-8555
(704) 225-8556
Mailing address
1736 DICKERSON BLVD, SUITE C, MONROE, NC 28110-2832
(704) 225-8555
(704) 225-8556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7551
NC
Other
Enumeration date
11/26/2006
Last updated
07/08/2007
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