Charles Khoury, Dmd, Inc.

NPI #1043309941 in Fairhaven, Massachusetts

Provider Information

NPI Number: 1043309941
Entity Type: Organization
Organization Name: Charles Khoury, Dmd, Inc.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 404 HUTTLESTON AVE
Address 2: 1ST FLOOR
City: Fairhaven
State: Massachusetts
ZIP Code: 02719
Phone: (508) 997-7776

Authorized Official

Name: DR. CHARLES KHOURY, DMD
Title: PRESIDENT
Phone: (508) 997-7776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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