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Charles Khoury, Dmd, Inc.
Dental Clinic/Center in Fairhaven, Massachusetts
NPI 1043309941

Charles Khoury, Dmd, Inc. is a Dental Clinic/Center based in Dartmouth, MA and is specialized in Dental. Charles Khoury, Dmd, Inc. practices in Fairhaven, MA. The NPI Number for Charles Khoury, Dmd, Inc. is 1043309941 and holds a License No. 20015 (Massachusetts).

The current practice location address for Charles Khoury, Dmd, Inc. is 404 Huttleston Ave, Fairhaven, MA and can be reached out via phone at 508-997-7776.

Location: 404 Huttleston Ave, Fairhaven, MA, 02747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043309941
Provider Name
Charles Khoury, Dmd, Inc.
Credential
Provider Entity Type
Organization
Address
404 Huttleston Ave, Fairhaven, MA, 02747
Phone Number
508-997-7776
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X12286 01 MA BCBS OF MA
institution
Provider Business Practice Location Address Details
Address
404 Huttleston Ave
City
Fairhaven
State
Massachusetts
Zip
02719
Phone Number
508-997-7776
Fax Number
person
Provider Business Mailing Address Details
Address
404 Huttleston Ave
City
Fairhaven
State
Massachusetts
Zip
02719
Phone Number
508-997-7776
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
20015 (Massachusetts)
Definition
Definition to come...
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