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Organization
RAMI A KHOURY DMD PC
Active
Organization
RAMI A KHOURY DMD PC
Active
Other names
Broadway Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMI A KHOURY DMD (OWNER)
(610) 691-3311
Entity
Organization
Contact information
Practice address
1003 BROADWAY, FOUNTAIN HILL, PA 18015-4101
(610) 691-3311
(610) 317-6052
Mailing address
1003 BROADWAY, BETHLEHEM, PA 18015
(610) 691-3311
(610) 317-6052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035891
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101874749 0001
—
PA
01
—
1215069752
INDIVIDUAL NPI
—
Enumeration date
01/21/2016
Last updated
01/21/2016
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