| Charles Khoury, Dmd, Inc. | |
|
404 Huttleston Ave 1st Floor Fairhaven MA 02719 | |
| (508) 997-7776 | |
| Not Available |
| Full Name | Charles Khoury, Dmd, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 404 Huttleston Ave, Fairhaven, Massachusetts |
| Authorized Official Name and Position | Charles Khoury (PRESIDENT) |
| Authorized Official Contact | 5089977776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Khoury, Dmd, Inc. 1428 Dartmouth Woods Drive Dartmouth MA 02747 Ph: () - | Charles Khoury, Dmd, Inc. 404 Huttleston Ave 1st Floor Fairhaven MA 02719 Ph: (508) 997-7776 |
| NPI Number | 1043309941 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043309941 | NPI | - | NPPES |
| X12286 | Other | MA | BCBS OF MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20015 (Massachusetts) | Primary |
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