Individual provider · NPI-1
Dr. Marc Al Khoury, DMD
Dentist · Palm Beach Gardens, FL
NPI number1295188787
StatusActive
Last updated in NPPESOct 17, 2023
Details
- NPI
- 1295188787
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marc Al Khoury
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2016
- Certification date
- Oct 17, 2023
- Last updated
- Oct 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN28499 | FL | Yes |
Practice location
4595 Northlake Blvd Ste 103Palm Beach Gardens, FL 33418-4647
Phone 561-427-7711
Mailing address
1850 S Ocean Dr Apt 3407Hallandale Beach, FL 33009-7686
Phone 647-971-9876
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