Individual
DR. NICHOLAS MOUCHAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5790 E MAIN ST STE 110, CARMEL, IN 46033-6200
(317) 844-2810
Mailing address
14707 KELLER TER, CARMEL, IN 46033-8887
(765) 729-2236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012945A
IN
Other
Enumeration date
06/13/2018
Last updated
12/20/2024
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