Mohammad Khosousi, D.D.S

NPI #1124394069 in Las Vegas, Nevada

Provider Information

NPI Number: 1124394069
Entity Type: Individual
Name: Mohammad Khosousi, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Mar 26, 2012
Last Updated: Sep 24, 2015

Practice Location

Address: 2285 E FLAMINGO RD
Address 2: 101
City: Las Vegas
State: Nevada
ZIP Code: 89119-5100
Phone: (702) 522-9192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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