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Organization
DIVINE DENTAL ARTS PC
Active
Organization
DIVINE DENTAL ARTS PC
Active
Other names
Transcend Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMER KHOURY DDS MS (CEO)
(610) 616-3641
Entity
Organization
Contact information
Practice address
40 BUCKWALTER RD, SUITE 309, ROYERSFORD, PA 19468
(610) 616-3641
Mailing address
40 BUCKWALTER RD, SUITE 309, ROYERSFORD, PA 19468
(610) 616-3641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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