Khoury, Isam Hanna
Khoury, Isam Hanna is an sole proprietor health care provider with primary practice located at 1500 Southgate Ave #103, Daly City CA 94015-2259. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Khoury, Isam Hanna can be contacted via phone (650) 991-0999.Contact Information
Primary practice address
1500 Southgate Ave #103
Daly City CA 94015-2259
Phone: (650) 991-0999
Fax: (650) 991-0918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DP035922 | California |
Profile Details
| NPI number | 1801952239 |
|---|---|
| LBN Legal business name | Khoury, Isam Hanna |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801952239 | NPPES |
| California | MEDICAID | B35922-01 |
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