Provider Demographics
NPI:1881889335
Name:MAHER NAKOUD D.D.S., INC.
Entity type:Organization
Organization Name:MAHER NAKOUD D.D.S., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKOUD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-366-0001
Mailing Address - Street 1:11856 1/8 BALBOA BLVD
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-2767
Mailing Address - Country:US
Mailing Address - Phone:818-366-0001
Mailing Address - Fax:818-366-1755
Practice Address - Street 1:11856 1/8 BALBOA BLVD
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-2767
Practice Address - Country:US
Practice Address - Phone:818-366-0001
Practice Address - Fax:818-366-1755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty