Organization
DENTAL IMPLANT & PERIODONTAL SURGEONS OF MAINE LINE, P.C.
Active
Other names
Sam B. Khoury, D.D.S., M.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMER B KHOURY D.D.S., M.S. (PERIODONTIST)
(610) 500-0610
Entity
Organization
Contact information
Practice address
107 COMMONS CT, CHADDS FORD, PA 19317
(610) 500-0610
Mailing address
107 COMMONS CT, CHADDS FORD, PA 19317-9708
(610) 500-0610
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS037420
PA
Other
Enumeration date
10/12/2016
Last updated
07/18/2018
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