Organization
MARYSVILLE DENTAL GROUP
Active
Other names
Khouri Dental Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER SOUDAH (CEO)
(937) 578-0014
Entity
Organization
Contact information
Practice address
17791 STATE ROUTE 31, MARYSVILLE, OH 43040-9607
(937) 578-0014
(937) 644-0660
Mailing address
17791 STATE ROUTE 31, MARYSVILLE, OH 43040-9607
(937) 578-0014
(937) 644-0660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/31/2019
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