Organization
GALESBURG DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADI KHILLAH DDS (DENTIST)
(269) 806-4704
Entity
Organization
Contact information
Practice address
357 E MICHIGAN AVE, GALESBURG, MI 49053-9763
(269) 665-9997
(269) 665-5088
Mailing address
357 E MICHIGAN AVE, GALESBURG, MI 49053-9763
(269) 665-9997
(269) 665-5088
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901021326
MI
Other
Enumeration date
04/21/2016
Last updated
12/30/2016
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