# MR. LOUIS ABUKHALAF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194010744
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011660 | IN | Yes |
| 1223E0200X | Endodontics | 12011660 | IN | — |
| 1223G0001X | General Practice Dentistry | 12011660 | IN | — |
| 1223G0001X | General Practice Dentistry | 12011660A | IN | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12011660 | IN | — |

## Other

- **Enumeration date:** 06/11/2011
- **Last updated:** 06/03/2019