Roham Jalilian Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1588530794
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2025044755 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-10-14
- Last updated
- 2025-10-14
Practice location
3445 Pheasant Meadow Dr
O Fallon, MO 63368-7324
(636) 240-0232