Organization
DR. TINA KHOURY, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA MARIE KHOURY DMD (OWNER/DENTIST)
(309) 360-8440
Entity
Organization
Contact information
Practice address
50 LAKEVIEW PKWY STE 120, VERNON HILLS, IL 60061-1590
(309) 360-8440
Mailing address
4225 TIGER LILY LN, APT 404, GURNEE, IL 60031-9639
(309) 360-8440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030368
IL
Other
Enumeration date
05/20/2016
Last updated
08/14/2020
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