Organization
ADVANCED DENTAL AESTHETICS NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIE KHOURI DDS (PRESIDENT)
(212) 421-8180
Entity
Organization
Contact information
Practice address
30 E 60TH ST, SUITE 1101, NEW YORK, NY 10022-1008
(212) 421-8180
(212) 421-8182
Mailing address
901 E 14 MILE RD, BIRMINGHAM, MI 48009-2038
(212) 421-8180
(212) 421-8182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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