Provider Demographics
NPI:1821128521
Name:ZOHNI, KHALED CHARLES (DMD)
Entity Type:Individual
Prefix:DR
First Name:KHALED
Middle Name:CHARLES
Last Name:ZOHNI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 E MAIN ST
Mailing Address - Street 2:#2
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1763
Mailing Address - Country:US
Mailing Address - Phone:508-366-8300
Mailing Address - Fax:
Practice Address - Street 1:176 E MAIN ST
Practice Address - Street 2:#2
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1763
Practice Address - Country:US
Practice Address - Phone:508-366-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19841122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist