Individual
DR. SAM F KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3000 ALAMO DR STE 206, VACAVILLE, CA 95687-6352
(707) 451-1311
(707) 451-1325
Mailing address
1321 WEBSTER ST, #D308, ALAMEDA, CA 94501-3871
(510) 522-2571
(510) 522-2571
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
57670
CA
Other
Enumeration date
07/09/2009
Last updated
03/16/2011
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