Individual
DR. SHADI ALKHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS. MS
Contact information
Practice address
2011 VESTAVIA PARK LN APT A, VESTAVIA, AL 35216-3715
(630) 457-0516
Mailing address
2011 VESTAVIA PARK LN APT A, VESTAVIA, AL 35216-3715
(630) 457-0516
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35916
TX
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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