Individual
NICHOLAS KOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
308 E COMMERCIAL AVE, LOWELL, IN 46356
(219) 696-2100
(219) 696-3660
Mailing address
308 E COMMERCIAL AVE, LOWELL, IN 46356-1708
(219) 696-2100
(219) 696-3660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-025781
IL
1223G0001X
General Practice Dentistry
Primary
12012087A
IN
Other
Enumeration date
11/20/2006
Last updated
10/28/2019
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