Individual
DR. ISSA KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17320 FARMINGTON RD, LIVONIA, MI 48152
(734) 261-1760
Mailing address
17320 FARMINGTON RD, LIVONIA, MI 48152
(734) 261-1760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015461
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2726363
—
MI
Enumeration date
11/03/2006
Last updated
07/08/2007
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