Individual
DR. CHARLES PIERRE KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 HUTTLESTON AVE, 1ST FLOOR, FAIRHAVEN, MA 02719-5630
(508) 997-7776
(508) 997-0776
Mailing address
1428 DARTMOUTH WOODS DRIVE, DARTMOUTH, MA 02747
(508) 997-7776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20015
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X12286
BCBS OF MA
MA
Enumeration date
11/15/2005
Last updated
07/08/2007
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