| Dental Implant & Periodontal Surgeons Of Maine Line, P.c. | |
|
107 Commons Ct Chadds Ford PA 19317 | |
| (610) 500-0610 | |
| Not Available |
| Full Name | Dental Implant & Periodontal Surgeons Of Maine Line, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 107 Commons Ct, Chadds Ford, Pennsylvania |
| Authorized Official Name and Position | Samer B Khoury (PERIODONTIST) |
| Authorized Official Contact | 6105000610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Implant & Periodontal Surgeons Of Maine Line, P.c. 107 Commons Ct Chadds Ford PA 19317-9708 Ph: (610) 500-0610 | Dental Implant & Periodontal Surgeons Of Maine Line, P.c. 107 Commons Ct Chadds Ford PA 19317 Ph: (610) 500-0610 |
| NPI Number | 1477003531 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 07/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477003531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DS037420 (Pennsylvania) | Primary |
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