Affordable Dentures - Forest Park, Noureddin Khazam, DDS, INC.
Dentist in Cincinnati, OH. Organization (NPI-2).
NPI number1518598002
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1518598002
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures - Forest Park, Noureddin Khazam, DDS, INC.
- Organization subpart
- No
- Enumeration date
- Feb 3, 2020
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
1173 Smiley AveCincinnati, OH 45240-1832
Phone 513-648-9479
Mailing address
1173 Smiley AveCincinnati, OH 45240-1832
Phone 513-648-9479
Authorized official
Noureddin Khazam
Owner
5136489479
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