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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYAM KHALILI, DDS-PROSTHODONTIST

Active

MARYAM KHALILI, DDS-PROSTHODONTIST is a Pediatric Dentistry healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1578101630 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PHILADELPHIA, PA

Registration Details

NPI Number
1578101630
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2019 (6.4639988851267 yrs)
Last Updated
Nov 9, 2022
Licenses
34590 (TX)
0401416303 (VA)
RFD000033 (PA)

Practice Information

Address
3223 N BROAD ST OFC 314
PHILADELPHIA, PA, 191405007
Browse PA providers · Browse ZIP 19140
Phone
7738079934
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Dentist
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in PHILADELPHIA, PA

Name Credential NPI
DR. THOMAS C. BACKENSTOSE JR. DMD 1760465272
DR. LOUIS ANTHONY DIPEDE DMD 1508828443
NAJEED SALEH DMD 1821034588
DR. HARRY RANDEL D.M.D. 1609896182
DR. JOSEPH B BREITMAN D.M.D 1932213287
DR. AARON G SEGAL D.D.S. 1083749675
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.