Individual
MOHAMMAD KHOSOUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2285 E FLAMINGO RD, 101, LAS VEGAS, NV 89119-5100
(702) 522-9192
(702) 546-5679
Mailing address
2285 E FLAMINGO RD, 101, LAS VEGAS, NV 89119-5100
(702) 522-9192
(702) 546-5679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6598
NV
122300000X
Dentist
DEN4310
ME
1223G0001X
General Practice Dentistry
29704
TX
Other
Enumeration date
03/26/2012
Last updated
09/24/2015
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