Individual
CHARLES ELKHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
244 RIVER ST, DEDHAM, MA 02026-3211
(781) 326-0026
Mailing address
11 DARTMOUTH PL APT 1, BOSTON, MA 02116-6163
(978) 503-9395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859955
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/03/2023
Last updated
08/23/2023
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