Organization
DENTAL IMPLANT & PERIODONTAL SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMER KHOURY DDS MS (PRESIDENT)
(215) 968-9601
Entity
Organization
Contact information
Practice address
638 NEWTOWN YARDLEY RD STE 1C, NEWTOWN, PA 18940
(159) 689-6012
Mailing address
638 NEWTOWN YARDLEY RD STE 1C, NEWTOWN, PA 18940-1737
(215) 968-9601
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS037420
PA
Other
Enumeration date
10/05/2010
Last updated
07/18/2018
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