Individual
DR. NICOLAS ANIS KFOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2963 MANCHESTER RD, SUITE A, MANCHESTER, MD 21102-1853
(410) 239-3977
(410) 239-9999
Mailing address
2963 MANCHESTER RD, SUITE A, MANCHESTER, MD 21102-1853
(410) 239-3977
(410) 239-9999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10454
MD
Other
Enumeration date
01/04/2006
Last updated
10/01/2013
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