Organization
DIVINE DENTAL ARTS PC
Active
Other names
Transcend Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMER KHOURY DDS MS (CEO)
(610) 616-3641
Entity
Organization
Contact information
Practice address
40 BUCKWALTER RD, SUITE 309, ROYERSFORD, PA 19468
(610) 616-3641
Mailing address
40 BUCKWALTER RD, SUITE 309, ROYERSFORD, PA 19468
(610) 616-3641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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