Individual
CHADI BACHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(724) 877-9120
Mailing address
1001 COVINGTON, YOUNGSTOWN, OH 44504
(724) 877-9120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025604
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2016
Last updated
11/14/2018
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