Provider Demographics
NPI:1780241067
Name:KHEIR DENTAL, INC.
Entity type:Organization
Organization Name:KHEIR DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-KHEIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-536-2973
Mailing Address - Street 1:338 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1604
Mailing Address - Country:US
Mailing Address - Phone:215-536-2973
Mailing Address - Fax:215-538-7676
Practice Address - Street 1:338 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1604
Practice Address - Country:US
Practice Address - Phone:215-536-2973
Practice Address - Fax:215-538-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty